Individual
LILINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2513 FOWLER ST, ANDERSON, IN 46012-3713
(765) 256-0392
Mailing address
2513 FOWLER ST, ANDERSON, IN 46012-3713
(765) 256-0392
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
IN
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9437850356
—
FL
Enumeration date
08/28/2018
Last updated
05/31/2026
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