Portia Nelson

NPI #1417477506 in Odessa, Florida

Provider Information

NPI Number: 1417477506
Entity Type: Individual
Name: Portia Nelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2017
Last Updated: Jun 21, 2017

Practice Location

Address: 16414 LAKE CHURCH DR
City: Odessa
State: Florida
ZIP Code: 33556-2637
Phone: (954) 459-5147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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