Individual
KRYSTA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 GRIFFIN RD STE 5, PORTSMOUTH, NH 03801-7145
(800) 778-5560
Mailing address
2 BARKLAND DR, DERRY, NH 03038-3936
(603) 216-4533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB691873
NH
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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