DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LATAI'JA NELSON

MEDICARE: LATAI'JA NELSON
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
1106S00000XBehavior TechnicianRBT-24-326660FL

General Provider Information

NPI Number : 1134984784
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATAI'JA NELSON
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 2807 SYCAMORE ST UNIT 100
Second Line :
City : NORTH PORT
State : FL
Zip : 34289-9507
Country : US
Telephone Number : 941-278-5266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 02/13/2024

Similar Medicare Providers

1811512296 — AMY CLIFF GRAHAM BCBA
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-799-6733
Practice Fax: 317-520-8200
1811573546 — MEACHA LYNN COON
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-278-5266
Practice Fax:
1487423208 — DARRYL JOHNSON
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-278-5266
Practice Fax: 317-520-8200
1003685827 — HAILEE SHELTON
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-278-5266
Practice Fax: 317-520-8200
1326803966 — ASHLEY AIKEN
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-278-5266
Practice Fax:
1962267500 — BREANNE WILLIAMSON
Practice Location Address:
2807 SYCAMORE ST UNIT 100
NORTH PORT, FL
34289-9507
Practice Phone: 941-278-5266
Practice Fax:

Directions to “ LATAI'JA NELSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.