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

Edward Luis Farrada-Bazail

Individual provider Behavior Technician · NPI 1700672649

Edward Luis Farrada-Bazail is a Behavior Technician in Lehigh Acres, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

912 Sally Ave N
Lehigh Acres, FL 33971-5205
Phone: (239) 240-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-426833 (FL)

Record details

NPI number1700672649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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