Healthcare Provider Details

I. General information

NPI: 1245153626
Provider Name (Legal Business Name): MURIAH ALEECIA NELSON BEHAVIOR TECHNICIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7326 LITTLE RD
NEW PORT RICHEY FL
34654-5518
US

IV. Provider business mailing address

7326 LITTLE RD
NEW PORT RICHEY FL
34654-5518
US

V. Phone/Fax

Practice location:
  • Phone: 727-364-2212
  • Fax: 727-877-6957
Mailing address:
  • Phone: 727-364-2212
  • Fax: 727-877-6957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: