Tara Nelson

NPI #1003620204 in Durant, Oklahoma

Provider Information

NPI Number: 1003620204
Entity Type: Individual
Name: Tara Nelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2025
Last Updated: Feb 6, 2025

Practice Location

Address: 372 BRYAN DR STE 112
City: Durant
State: Oklahoma
ZIP Code: 74701-3466
Phone: (903) 444-0910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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