NPI 1265744247 · live from the CMS NPI Registry
Rebeka Pena Edge, BCBA
Behavior Analyst in Orlando, FL. National Provider Identifier 1265744247, active.
NPI record
| NPI | 1265744247 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6200 Lee Vista Blvd Ste 200, Orlando, FL 32822 |
| Practice phone | 754-444-3707 |
| Mailing address | 16636 Baird Cir, Eagle River, AK 99577 |
| Enumerated | July 7, 2010 |
| Last updated | October 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-10-7144 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.