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Individual

BROOKE NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2151 OLD ROCKY RIDGE RD STE 100, VESTAVIA HILLS, AL 35216-7251
(205) 978-9939
Mailing address
313 BRADFORD CIR, TRUSSVILLE, AL 35173-3230

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318145
AL

Other

Enumeration date
06/09/2025
Last updated
06/09/2025
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