Individual provider · Type 1 NPI

Marie Javana Nelson

Developmental Therapist · Peoria, IL

NPI number 1922664481 Active

Practice location

507 E Armstrong Ave
Peoria, IL 61603-3201

Call (309) 686-1177 Map

Mailing address

906 W Loire Ct Apt 4D
Peoria, IL 61614-1829

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1922664481

Marie Javana Nelson's National Provider Identifier is 1922664481, issued on May 10, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Peoria, IL. The record was last updated on May 10, 2019.