Daniel Lee Nelson

NPI #1366009904 in Longview, Washington

Provider Information

NPI Number: 1366009904
Entity Type: Individual
Name: Daniel Lee Nelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 20, 2019
Last Updated: May 20, 2019

Practice Location

Address: 1445 30TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2707
Phone: (360) 749-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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