Most Relevant Information
Provider Data
| NPI Number: | 1003464405 |
| Provider Name: | ANDREA NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
1819 E SPRINGFIELD AVE STE H
SPOKANE
WA
992022954
Practice Location Phone/Fax
| Phone: | 5099995657 |
| Fax: |
Provider Mailing Location
1819 E SPRINGFIELD AVE STE H
SPOKANE
WA
992022954
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |