Individual
GLORIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD, SUITE 318, EDISON, NJ 08837-2429
(888) 261-1110
Mailing address
172 MICHELLE CIR, EDISON, NJ 08820-4646
(973) 714-8980
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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