Individual
ROBERT MANFRED NELSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14509 DEL VALLE RD, TAMPA, FL 33625-1445
(813) 514-3484
Mailing address
14509 DEL VALLE RD, TAMPA, FL 33625-1445
(813) 514-3484
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-26-17210
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/07/2023
Last updated
06/04/2026
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