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Thomas Richard Pierce Nelson, RBT

Behavior Technician in Charlotte, NC. Individual provider (NPI-1).

NPI number1043935166
StatusActive
Last updated in NPPESOct 11, 2022

Details

NPI
1043935166
Entity type
Individual (NPI-1)
Name
Thomas Richard Pierce Nelson
Credential
RBT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 11, 2022
Certification date
Oct 11, 2022
Last updated
Oct 11, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-237392NCYes

Practice location

716 Marsh Rd
Charlotte, NC 28209-1851

Phone 704-522-9912 · Fax 704-566-6050

Mailing address

716 Marsh Rd
Charlotte, NC 28209-1851

Phone 704-522-9912 · Fax 704-566-6050

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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