Individual
CARMEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 EVERGREEN CIR, DEKALB, IL 60115-2214
(773) 217-4907
Mailing address
333 S FORDHAM AVE, AURORA, IL 60506-4805
(630) 664-8020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12147370
IL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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