Individual
BARBARA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
170 PHEASANT RUN STE 100, NEWTOWN, PA 18940-1877
(215) 579-0670
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53974
—
103K00000X
Behavior Analyst
BH005400
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH005400
PA DEPARTMENT OF MEDICINE
PA
Enumeration date
07/23/2021
Last updated
01/11/2022
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