MEDICARE: TIQUANA D 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

General Provider Information

NPI Number	:	1477411726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIQUANA D NELSON

Provider Business Mailing Address
First Line	:	161 WOOD CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4645
Country	:	US
Telephone Number	:	803-727-2228
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 WOOD CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4645
Country	:	US
Telephone Number	:	803-727-2228
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1609131069 — MR. MORRIS FREID VATZ LCSW-C
Practice Location Address:

3896 OLD COLUMBIA PIKE
ELLICOTT CITY, MD
21043-4645

Practice Phone: 410-935-6412
Practice Fax:

1467844670 — MARY NICOLE GRAY
Practice Location Address:

4645 SLIPPERY ROCK LN
COLUMBIA, VA
23038-2325

Practice Phone: 804-457-4153
Practice Fax:

1811855786 — ISABELLA REYNOLDS
Practice Location Address:

1370 BROWNING RD STE 100
COLUMBIA, SC
29210-6939

Practice Phone: 877-418-2978
Practice Fax:

1265391288 — DELANEY NICOLE FREEMAN
Practice Location Address:

1370 BROWNING RD STE 100
COLUMBIA, SC
29210-6939

Practice Phone: 877-418-2978
Practice Fax:

1932833951 — MEGAN DEAN ROBBINS BCBA
Practice Location Address:

426 BUSH RIVER RD
COLUMBIA, SC
29210-7312

Practice Phone: 803-335-0718
Practice Fax:

1568321560 — JORDAN CHRSITIAN WILDER I
Practice Location Address:

1370 BROWNING RD STE 100
COLUMBIA, SC
29210-6939

Practice Phone: 888-880-9270
Practice Fax:

Directions to “ TIQUANA D 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.