Individual
BRITTANY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 N MAIN ST STE D, HINESVILLE, GA 31313-2570
(912) 756-0656
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60369
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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