Nelson, Candace Michelle

Nelson, Candace Michelle is an individual health care provider with primary practice located at 4001 E 29Th St Ste 190 , Bryan TX 77802-4211. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Nelson, Candace Michelle can be contacted via phone (979) 985-9503.

Contact Information

Primary practice address
4001 E 29Th St Ste 190 Bryan TX 77802-4211
Phone: (979) 985-9503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-16-7314 Texas

Profile Details

NPI number 1356862874
LBN Legal business name Nelson, Candace Michelle
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2017
Last updated Jul 6th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356862874 NPPES
Texas Other 47-3705562 GROUP TAX ID

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