Individual
MRS. BETHANY GRACE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 224, SILVERDALE, WA 98383-8365
(360) 536-3060
(347) 823-9717
Mailing address
19201 SE 263RD ST, COVINGTON, WA 98042-6020
(360) 929-0717
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-14-5775
WA
Other
Enumeration date
04/06/2014
Last updated
07/21/2022
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