Individual
AMANDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
(985) 272-1824
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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