Individual
SAMANTHA B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 447-2309
Mailing address
1308 RED STONE DR, LEXINGTON, KY 40509-2332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133003441
VA
103K00000X
Behavior Analyst
Primary
273595
KY
Other
Enumeration date
02/28/2020
Last updated
02/12/2024
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