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

Individual provider Behavior Technician · NPI 1073162665

Elizabeth Jacquelyn Edelen is a Behavior Technician in Port St Lucie, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Se Hillmoor Dr Ste B101-103, Port Saint Lucie, FL 34952-7553 — (772) 463-0444

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1073162665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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