Individual
ALEXANDER ARDIAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4152 30TH AVE S STE 102, FARGO, ND 58104-8403
(701) 364-2263
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00000
ND
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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