Nelson, Madelyn Nadine
Nelson, Madelyn Nadine is an individual health care provider with primary practice located at 4112 Fieldstone Rd Suite B, Champaign IL 61822-6182. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Nelson, Madelyn Nadine can be contacted via phone (888) 308-3728.Contact Information
Primary practice address
4112 Fieldstone Rd Suite B
Champaign IL 61822-6182
Phone: (888) 308-3728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 20-140248 | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-67437 | Illinois |
Profile Details
| NPI number | 1447839089 |
|---|---|
| LBN Legal business name | Nelson, Madelyn Nadine |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2021 |
| Last updated | Aug 8th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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