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NPI Code Detail

MEDICARE: JOSHUA NELSON

MEDICARE:   JOSHUA  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 Technician

General Provider Information

NPI Number : 1285598854
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA NELSON
Provider Business Mailing Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-464-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/10/2025

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Directions to “ JOSHUA NELSON ” Practice Location

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