IndividualActive
Elizabeth Edelen
NPI 1073162665 · Behavior Technician · Port St Lucie, FL
Provider details
- NPI number
- 1073162665
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1887 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
Street-level locationGet directions
Mailing address
1400 Larch Cir Ne Apt 102
Palm Bay, FL 32905-6420
Additional practice locations (1)
- 1801 Se Hillmoor Dr Ste B101-103Port Saint Lucie, FL 34952-7553Phone: (772) 463-0444
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.