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Active NPI 1104789742 Organization (Entity Type 2)

Edwards Behavior Consulting, Llc

Behavior Analyst • Pace, FL

About Edwards Behavior Consulting, Llc NPI 1104789742 Summary

Edwards Behavior Consulting, Llc is a verified healthcare organization specializing in Behavior Analyst operating in Pace, FL. Located at 4471 JUDE WAY PACE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104789742.

Administrative operations and authorized compliance are overseen by Theresa Edwards (Owner).

Facility Location & Contact Primary Location

Facility Address

4471 Jude Way Pace

Pace, FL 32571

Telephone 8128412864

Authorized Official Information

Authorized Contact Name

MS. Theresa Edwards , MA, BCBA, RBC, LBC

Title / Role

Owner

Official Telephone

8128412864

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 09, 2025

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2025

Registered at 4471 JUDE WAY PACE, PACE, FL 32571 (Tel: 8128412864)

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Updated Business Mailing Address December 09, 2025

Registered at 4471 JUDE WAY PACE, PACE, FL 32571 (Tel: 8128412864)

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Organization / Clinic Name Updated December 09, 2025

Operating as EDWARDS BEHAVIOR CONSULTING, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2025

Behavior Analyst

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Initial NPI Registration & Enumeration December 09, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1104789742
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 09, 2025
Last Update: December 09, 2025

Mailing Address

4471 Jude Way Pace

Pace, FL 32571

Phone: 8128412864

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.