Individual
NELSON MANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
23 CROSBY DR STE 300, BEDFORD, MA 01730-1423
(781) 512-4591
Mailing address
2 ROCKY LEDGE RD, WESTON, MA 02493-1473
(617) 455-2260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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