Individual
MARIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MAIN ST SUITE 300, COLUMBIA, SC 29201
(888) 880-9270
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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