Provider Demographics
NPI:1538725635
Name:NELSON, NATHANIEL JAMES (MS, BCBA)
Entity type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:JAMES
Last Name:NELSON
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12 TIMBERWOOD DR UNIT 306
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2583
Mailing Address - Country:US
Mailing Address - Phone:203-610-0603
Mailing Address - Fax:
Practice Address - Street 1:9 CEDARWOOD DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6801
Practice Address - Country:US
Practice Address - Phone:203-610-0603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst