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NPI Code Detail

MEDICARE: TANEIL LYNETTE EDWARDS

MEDICARE: TANEIL LYNETTE EDWARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator
3106S00000XBehavior TechnicianUT
4106S00000XBehavior Technician

General Provider Information

NPI Number : 1275276081
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANEIL LYNETTE EDWARDS
Provider Business Mailing Address
First Line : 2985 N 935 E STE 7
Second Line :
City : LAYTON
State : UT
Zip : 84040-7318
Country : US
Telephone Number : 801-771-0273
Fax Number :
Provider Business Practice Location Address
First Line : 2985 N 935 E STE 7
Second Line :
City : LAYTON
State : UT
Zip : 84040-7318
Country : US
Telephone Number : 801-771-0273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 12/01/2025

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Directions to “ TANEIL LYNETTE EDWARDS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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