Individual
HANNAH E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6761 STAGE RD, BARTLETT, TN 38134-3867
(901) 379-8827
Mailing address
1174 GREENLAW AVE, MEMPHIS, TN 38105-2509
(901) 361-1135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
0010673461024609
TN
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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