Provider Demographics
NPI:1659867828
Name:CLAUDIO-NELSON, ADELAIDA (LBS)
Entity Type:Individual
Prefix:
First Name:ADELAIDA
Middle Name:
Last Name:CLAUDIO-NELSON
Suffix:
Gender:F
Credentials:LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:CRUM LYNNE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1131
Mailing Address - Country:US
Mailing Address - Phone:267-312-1660
Mailing Address - Fax:
Practice Address - Street 1:331 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:CRUM LYNNE
Practice Address - State:PA
Practice Address - Zip Code:19022-1131
Practice Address - Country:US
Practice Address - Phone:267-312-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002224103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst