Most Relevant Information
Provider Data
| NPI Number: | 1003365073 |
| Provider Name: | ASHLEY NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2016 |
| Last Updated: | 09/30/2016 |
Provider Practice Location
501 N RAYNOR AVE
JOLIET
IL
604356025
Practice Location Phone/Fax
| Phone: | 8159056473 |
| Fax: |
Provider Mailing Location
501 N RAYNOR AVE
JOLIET
IL
604356025
Provider Mailing Phone/Fax
| Phone: | 8159056473 |
| Fax: |