Maizee Nelson, RBT

Individual provider Active NPI Behavior Technician · Watertown, SD

NPI 1346901089 · NPPES record last updated Jan 5, 2022

Key facts

NPI
1346901089
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-198284 (SD)
Practice address
810 S Maple
Watertown, SD 57201-4851
Phone
(605) 868-0101
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-198284SDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Matters LLC Behavior Technician Current Accepting new patients

Locations

810 S Maple
Watertown, SD 57201
Phone (605) 222-3847

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-198284 SD Yes

Addresses

Primary practice location

810 S Maple
Watertown, SD 57201-4851

Mailing address

810 S Maple
Watertown, SD 57201-4851
Phone (605) 868-0101

Other providers in Watertown, SD

All providers in Watertown, SD · Behavior Technician in South Dakota

Sources for this page

Verify at the official NPI Registry.