Individual
MAIZEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
810 S MAPLE, WATERTOWN, SD 57201-4851
(605) 868-0101
Mailing address
810 S MAPLE, WATERTOWN, SD 57201-4851
(605) 868-0101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-198284
SD
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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