Individual
DANIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(651) 424-4000
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
02/07/2020
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