Individual
CHRISTINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
(260) 205-4116
Mailing address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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