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NPI Code Detail

MEDICARE: SARIYAH EDWARDS

MEDICARE: SARIYAH 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
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1558224600
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARIYAH EDWARDS
Provider Business Mailing Address
First Line : 4642 TIGERLAND AVE APT 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-3632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4642 TIGERLAND AVE APT 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-3632
Country : US
Telephone Number : 225-769-2470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ SARIYAH EDWARDS ” Practice Location

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