Individual
BRIEANNA NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SHONEY DR SW, HUNTSVILLE, AL 35801-5436
(850) 866-0441
(850) 254-0827
Mailing address
810 SHONEY DR SW, HUNTSVILLE, AL 35801-5436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862107695
—
AL
Enumeration date
09/02/2022
Last updated
09/02/2022
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