Individual
ALEXIS CONTESSA NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 DUKE CT, JACKSONVILLE, NC 28546-8407
(305) 609-5179
Mailing address
609 DUKE CT, JACKSONVILLE, NC 28546-8407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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