Individual
JARRET TRAVIS NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 542-4230
Mailing address
505 BRIARWOOD DR APT C6, ENTERPRISE, AL 36330-2288
(541) 613-3040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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