DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEJAH EDWARDS

MEDICARE: DEJAH 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 Technician

General Provider Information

NPI Number : 1932039237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEJAH EDWARDS
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 6235 RIVER CREST DR STE O
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-0758
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

Similar Medicare Providers

1619622024 — CHRISTOPHER JOHN HERNANDEZ
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:
1013848464 — GABRIELA GONZALEZ
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:
1619808078 — MEGAN COSBY
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:
1295665578 — DALENE SPARKS
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:
1285198093 — KRYSTAL PEREZ
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:
1962349183 — JASMIN COFFEY
Practice Location Address:
6235 RIVER CREST DR STE O
RIVERSIDE, CA
92507-0758
Practice Phone: 866-727-8274
Practice Fax:

Directions to “ DEJAH EDWARDS ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.