Immanuel Trey Edwards
Immanuel Trey Edwards is an Assistant Behavior Analyst in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1110 13th St Unit DColumbus, GA 31901-2246
Phone: (706) 254-9342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-24-77058 (GA) |
|---|---|
| Assistant Behavior Analyst | Taxonomy 106E00000X · Licence 0-24-14986 (GA) |
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1669126553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
| Mailing address | 1110 13th St Unit D, Columbus, GA 31901-2246 |
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Quianne Faulkner
1133 13th St, Columbus, GA 31901-2248 · (706) 225-0101
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1133 13th St, Columbus, GA 31901-2248 · (706) 225-0101
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