Trace Edwards
Trace Edwards is a Behavior Technician in Colton, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1420 E Cooley Dr Ste 204Colton, CA 92324-3953
Phone: (310) 388-7365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1588417794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
| Mailing address | 1420 E Cooley Dr Ste 204, Colton, CA 92324-3953 |
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