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NPI Code Detail

MEDICARE: EDIFY BEHAVIORAL APPLICATIONS LLC

MEDICARE: EDIFY BEHAVIORAL APPLICATIONS LLC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1982406153
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDIFY BEHAVIORAL APPLICATIONS LLC
Provider Business Mailing Address
First Line : 405 S MISSION ST STE B
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2870
Country : US
Telephone Number : 989-815-2157
Fax Number :
Provider Business Practice Location Address
First Line : 405 S MISSION ST STE B
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-2870
Country : US
Telephone Number : 810-614-7615
Fax Number :
Authorized Official
Title or Position : CHIEF CLINICAL OFFICER
Name : JONATHAN D YELLAND
Credential : MS, BCBA,LBA
Telephone Number : 810-614-7618
Provider Enumeration Date : 03/26/2025
Last Update Date : 01/30/2026

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Directions to “EDIFY BEHAVIORAL APPLICATIONS LLC ” Practice Location

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