IndividualActive
Keith Edwards
NPI 1962208975 · Behavior Technician · Peoria, IL
Keith Edwards is a Behavior Technician provider in Peoria, IL (NPI 1962208975).
Provider details
- NPI number
- 1962208975
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4921 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 244-1100
Street-level locationGet directions
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Keith Edwards's NPI number?
- Keith Edwards's National Provider Identifier (NPI) is 1962208975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Edwards's specialty?
- Keith Edwards is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keith Edwards located?
- Keith Edwards's practice location on file with NPPES is 4921 N Glen Park Place Rd, Peoria, IL 61614-4676.
- What is Keith Edwards's phone number?
- The practice phone number listed in the NPPES registry for Keith Edwards is (309) 244-1100.
- Is Keith Edwards's NPI active?
- Yes — Keith Edwards's NPI (1962208975) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.