Provider Demographics
NPI:1538662978
Name:BADILLA-EDWARDS, ANNA R (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:R
Last Name:BADILLA-EDWARDS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2357
Mailing Address - Country:US
Mailing Address - Phone:209-732-0519
Mailing Address - Fax:520-989-9794
Practice Address - Street 1:3333 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2357
Practice Address - Country:US
Practice Address - Phone:209-732-0519
Practice Address - Fax:520-989-9794
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No104100000XBehavioral Health & Social Service ProvidersSocial Worker