Individual
TERI ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
488 E 164TH ST APT 2C, BRONX, NY 10456-6622
(646) 298-7282
Mailing address
488 E 164TH ST APT 2C, BRONX, NY 10456-6622
(646) 298-7282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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