Individual
JASMINE S. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 CAMERON ST, MONROE, LA 71201
(318) 651-9363
Mailing address
744 MONDY RD, RUSTON, LA 71270-1306
(318) 278-9175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
06/25/2019
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