Individual
AMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S BROADWAY STE 310, WALNUT CREEK, CA 94596-5218
(888) 531-8385
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
(209) 572-1461
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
16-24859
CA
Other
Enumeration date
05/23/2018
Last updated
09/20/2022
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