Provider Demographics
NPI:1528613395
Name:EDWARDS, REBECCAH ELIZABETH
Entity type:Individual
Prefix:
First Name:REBECCAH
Middle Name:ELIZABETH
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REBECCAH
Other - Middle Name:ELIZABETH
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 WINCHESTER WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-2723
Mailing Address - Country:US
Mailing Address - Phone:715-832-2233
Mailing Address - Fax:
Practice Address - Street 1:1413 WINCHESTER WAY STE 1
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-2723
Practice Address - Country:US
Practice Address - Phone:715-832-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician