Nathaniel Lee Edison

NPI #1982202198 in Thornton, Colorado

Provider Information

NPI Number: 1982202198
Entity Type: Individual
Name: Nathaniel Lee Edison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 12, 2020
Last Updated: Oct 12, 2020

Practice Location

Address: 14548 HIGH ST
City: Thornton
State: Colorado
ZIP Code: 80602-7005
Phone: (941) 504-4180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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