Eden Rae Jeffers
Assistant Behavior Analyst in San Diego, CA. Individual provider (NPI-1).
NPI number1548071715
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1548071715
- Entity type
- Individual (NPI-1)
- Name
- Eden Rae Jeffers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2025
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
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 |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
10264 Waddell CirSan Diego, CA 92124-2934
Phone 931-449-3891 · Fax 833-515-2618
Mailing address
220 Lakeview CirTennessee Ridge, TN 37178-5106
Phone 931-401-6646
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.
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