Individual
NATHAN JOHN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 SLOAN PL STE 100, MAPLEWOOD, MN 55117-2085
(651) 797-4821
(651) 369-9887
Mailing address
9536 JACKSON ST NE, BLAINE, MN 55434-2580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0304
MN
Other
Enumeration date
09/08/2021
Last updated
05/21/2026
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