Most Relevant Information
Provider Data
| NPI Number: | 1003270281 |
| Provider Name: | MARIAH NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: | 0188950 |
Most Important Dates
| Enumeration Date: | 04/13/2016 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
1413 MARICOPA RD
NORTH PORT
FL
342874120
Practice Location Phone/Fax
| Phone: | 9415365715 |
| Fax: |
Provider Mailing Location
1413 MARICOPA RD
NORTH PORT
FL
342874120
Provider Mailing Phone/Fax
| Phone: | 9415365715 |
| Fax: |