Individual
MRS. JODI E NUERNBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
500C S LEWIS LN, CARBONDALE, IL 62901-3448
(715) 225-3967
Mailing address
500C S LEWIS LN, CARBONDALE, IL 62901-3448
(715) 225-3967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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