Edward Burke Addison IV, Behavior Assistant
Behavior Technician in West Palm Beach, FL. Individual provider (NPI-1).
NPI number1114432168
StatusActive
Last updated in NPPESDec 12, 2017
Details
- NPI
- 1114432168
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward Burke Addison IV
- Credential
- Behavior Assistant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2017
- Last updated
- Dec 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1818 S Australian Ave Ste 420West Palm Beach, FL 33409-6447
Phone 855-832-6727
Mailing address
1818 S Australian Ave Ste 420West Palm Beach, FL 33409-6447
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