Provider Demographics
NPI:1336729755
Name:EDWARDS, FEIGE (RBT)
Entity Type:Individual
Prefix:
First Name:FEIGE
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:FEIGE
Other - Middle Name:
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 NEWTON CT
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5294
Mailing Address - Country:US
Mailing Address - Phone:414-550-9242
Mailing Address - Fax:
Practice Address - Street 1:2451 US HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3397
Practice Address - Country:US
Practice Address - Phone:912-312-7409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst