Individual
ALIYAH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 7TH ST, CHARLOTTE, NC 28204-6300
(704) 612-6537
Mailing address
721 LILY GREEN CT NW, CONCORD, NC 28027-3391
(703) 915-7955
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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