Individual
MRS. CHANTELLE RAE NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
901 E 14TH ST, WAYNE, NE 68787-1201
(402) 375-3005
(402) 375-1205
Mailing address
901 E 14TH ST, WAYNE, NE 68787-1201
(402) 375-3005
(402) 375-1205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB334794
NE
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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