| NPI | 1447839089 |
|---|---|
| Other Name | MADELYN NADINE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-67437) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 20-140248) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2023-08-08 |