Individual
JAYMI NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1308 GREENWOOD CT, SHAKOPEE, MN 55379-4452
(161) 235-5652
Mailing address
1308 GREENWOOD CT, SHAKOPEE, MN 55379-4452
(612) 509-6690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71109
MN
106S00000X
Behavior Technician
RBT-20-146620
MN
Other
Enumeration date
08/04/2020
Last updated
02/20/2024
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