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NPI Code Detail

MEDICARE: AMELIA NELSON BCBA

MEDICARE: AMELIA NELSON BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-19-37568FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083070577
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA NELSON BCBA
Provider Business Mailing Address
First Line : 500 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4510
Country : US
Telephone Number : 407-218-4340
Fax Number : 407-218-4303
Provider Business Practice Location Address
First Line : 6973 UNIVERSITY BLVD
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-6713
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 11/19/2025

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