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Individual

BOBBY NELSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AA,CPS

Contact information

Practice address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 826-2675
Mailing address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 826-2675

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/23/2017
Last updated
02/23/2017
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