Individual
HALIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3042 MCKINLEY AVE, COLUMBUS, OH 43204-3653
(614) 487-7805
Mailing address
1520 SLADE AVE APT 204, COLUMBUS, OH 43235-7632
(330) 356-0984
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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