Provider Demographics
NPI:1497999460
Name:EDWARDS, CARLA (BCBA)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 CAMPUS CIRCLE DR E
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2712
Mailing Address - Country:US
Mailing Address - Phone:469-374-0700
Mailing Address - Fax:469-374-0800
Practice Address - Street 1:6301 CAMPUS CIRCLE DR E
Practice Address - Street 2:SUITE 100A
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2712
Practice Address - Country:US
Practice Address - Phone:469-374-0700
Practice Address - Fax:469-374-0800
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst