Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brakeal Edwards

Individual provider Behavior Technician · NPI 1609690353

Brakeal Edwards is a Behavior Technician in Jerome, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
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Practice location Address checks out

308 W 100 N
Jerome, ID 83338-5260
Phone: (208) 420-3109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ID)

Record details

NPI number1609690353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 10, 2024
Mailing address308 W 100 N, Jerome, ID 83338-5260

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