Individual
NELLIE BEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64-5229 PUU NOHEA ST, KAMUELA, HI 96743-8126
(970) 685-8772
Mailing address
64-5229 PUU NOHEA ST, KAMUELA, HI 96743-8126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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