Individual
ANDREIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 KIRSTEN DR, STOCKTON, CA 95212-3493
(916) 407-7606
Mailing address
4341 KIRSTEN DR, STOCKTON, CA 95212-3493
(916) 407-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D1393085
CA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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