Individual
DARCI KAY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1100 W QUINN RD APT 22, POCATELLO, ID 83202-2451
(208) 794-5376
Mailing address
1100 W QUINN RD APT 22, POCATELLO, ID 83202-2451
(208) 794-5376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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