Individual
NELLE KLEA DUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR DEGREE
Contact information
Practice address
15721 N GREENWAY HAYDEN LOOP STE 103, SCOTTSDALE, AZ 85260-1776
(602) 362-4200
Mailing address
15255 N FRANK LLOYD WRIGHT BLVD APT 1068, SCOTTSDALE, AZ 85260-2805
(618) 541-4552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QBH558M92361
BLUE CROSS
CA
Enumeration date
02/21/2018
Last updated
02/21/2018
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