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JACOB EDWARDS BCBA
NPI 1124547427
Behavior Analyst in Riverbank, CA

Active since September 18, 2017
5501 ANTIQUE ROSE WAY, RIVERBANK, CA 95367(209) 521-4791(209) 521-4794 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Edwards Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB EDWARDS BCBA (NPI 1124547427) is an individual behavior analyst provider in Riverbank, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1124547427
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACOB EDWARDSCredential: BCBA
Location Address5501 ANTIQUE ROSE WAYRiverbank, CA 95367-9505
Mailing Address3425 Coffee Rd Ste C2Modesto, CA 95355-1582 · (209) 521-4791 · Fax (209) 521-4794
Phone(209) 521-4791
Fax(209) 521-4794
Sole ProprietorYes
Enumeration DateSeptember 18, 2017
✔ NPI 1124547427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
5501 ANTIQUE ROSE WAY, Riverbank, CA 95367
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MOODY
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (209) 324-9539
KATINA BLAINE
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (209) 521-4791
SHANTHEL HOLLIDAY
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (866) 523-4268
MELISSA ALCOCER
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (209) 521-4791
BOBBI FREELAND
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (833) 599-2560
MAI CHONG THAO
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (866) 523-4268
SAMATHA POLITEAU
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (833) 599-2560
MITZI COSSIO
Behavior Technician
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367
Stanislaus County (866) 523-4268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Edwards's NPI number?

The NPI number for Jacob Edwards is 1124547427. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Jacob Edwards located?

Jacob Edwards practices at 5501 Antique Rose Way, Riverbank, CA 95367. The listed phone number is (209) 521-4791.

What is Jacob Edwards's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jacob Edwards was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.