Charlotte Gwynne Edmonds
Behavior Technician in South Charleston, WV. Individual provider (NPI-1).
NPI number1144166307
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1144166307
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Gwynne Edmonds
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2026
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | WV | Yes |
Practice location
325 6th AveSouth Charleston, WV 25303-1231
Phone 304-720-3383
Mailing address
325 6th AveSouth Charleston, WV 25303-1231
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in South Charleston, WV
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All 26 Behavior Technician providers in South Charleston · All 2,788 providers in South Charleston
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