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

Jacob Edwards, BCBA

Individual provider Behavior Analyst · NPI 1124547427

Jacob Edwards, BCBA is a Behavior Analyst in Riverbank, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
Fax: (209) 521-4794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)

Record details

NPI number1124547427
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017
Mailing address3425 Coffee Rd Ste C2, Modesto, CA 95355-1582

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