Individual
MADISON LYNNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
(702) 527-7939
Mailing address
PO BOX 516558, LOS ANGELES, CA 90051-0596
(702) 671-5005
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-46639
NV
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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