Individual
JALIEAUNNA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 S HUB DR APT 520B, INDEPENDENCE, MO 64055-2061
(816) 401-5653
Mailing address
2600 S HUB DR APT 520B, INDEPENDENCE, MO 64055-2061
(816) 401-5653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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