IndividualActive
Jake Edwards, BCBA
NPI 1184044323 · Behavior Analyst · Williston, VT
Provider details
- NPI number
- 1184044323
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1141598 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
37 Talcott Rd
Suite 114
Williston, VT 05495-2094
Phone: (802) 662-7831
Fax: (802) 662-7834
Approximate (ZIP-level) locationGet directions
Mailing address
343 Jericho Rd
Richmond, VT 05477-9173
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2016-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.