Organization
KEN NELSON BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDALL R NELSON MA, LMFT, LCSW, BCBA (OWNER)
(812) 453-5927
Entity
Organization
Contact information
Practice address
508 E WARRICK ST., OWENSVILLE, IN 47665
(812) 453-5927
Mailing address
PO BOX 822, OWENSVILLE, IN 47665-0822
(812) 453-5927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
34003111A
IN
106H00000X
Marriage & Family Therapist
35000054A
IN
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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