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Brakeal Edwards
NPI 1609690353 · on the registry since 2024 · sole proprietor
Practice
- Address
- 308 W 100 N
Jerome, ID 83338 - Phone
- (208) 420-3109
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho