Individual
JANINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 APPLETON BLVD APT A, STOCKBRIDGE, GA 30281-9424
(646) 714-9780
Mailing address
108 APPLETON BLVD APT A, STOCKBRIDGE, GA 30281-9424
(646) 714-9780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-233003
GA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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