Individual
MISS BRIE ELISA NELSON-THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E RINCON ST STE 219, CORONA, CA 92879-1387
(714) 673-8372
Mailing address
31167 MOUNTAIN LILAC WAY, TEMECULA, CA 92592-4177
(760) 415-0240
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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