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NPI Code Detail

MEDICARE: CALEIGH EDLER MA, LBA, BCBA

MEDICARE: CALEIGH EDLER MA, LBA, BCBA
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 TechnicianRBT-21-150105TN
2103K00000XBehavior Analyst1-23-66118TN

General Provider Information

NPI Number : 1972193027
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALEIGH EDLER MA, LBA, BCBA
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 407-915-7729
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 883 SEVEN OAKS BLVD STE 850
Second Line :
City : SMYRNA
State : TN
Zip : 37167-6691
Country : US
Telephone Number : 629-216-2007
Fax Number : 615-413-5018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2021
Last Update Date : 11/03/2023

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