Individual
CLINTON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
13062 TOWNSEND RD, PHILADELPHIA, PA 19154-1001
(267) 973-7843
Mailing address
13062 TOWNSEND RD, PHILADELPHIA, PA 19154-1001
(267) 973-7843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000846
PA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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