MEDICARE: HAVEN NICHOLE 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
1	106S00000X	Behavior Technician	232318655215	CO

General Provider Information

NPI Number	:	1265394837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAVEN NICHOLE NELSON

Provider Business Mailing Address
First Line	:	1150 N DOWNING ST APT 301
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2956
Country	:	US
Telephone Number	:	720-666-9152
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD STE 401
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	520-448-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1255294757 — IMANI R POWELL
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax:

1356824981 — MAGDALENA A MCNEELEY
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax:

1396344099 — WILLIAM COOK LMT
Practice Location Address:

6750 E SPEEDWAY BLVD
TUCSON, AZ
85710-1220

Practice Phone: 520-365-6939
Practice Fax:

1245965599 — TRICIA PARIS
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 520-448-9005
Practice Fax:

1073225504 — GARY DOUGLAS
Practice Location Address:

6700 E SPEEDWAY BLVD STE 401
TUCSON, AZ
85710-1220

Practice Phone: 719-341-1150
Practice Fax:

1346945458 — PATRICIA GUIDO LMFT
Practice Location Address:

6700 E SPEEDWAY BLVD
TUCSON, AZ
85710-1220

Practice Phone: 520-400-0114
Practice Fax:

Directions to “ HAVEN NICHOLE 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 © 2007-2025 (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.