Provider Demographics
NPI:1730568304
Name:DRONET, NELSON RAY JR (BCBA, LBA)
Entity type:Individual
Prefix:MR
First Name:NELSON
Middle Name:RAY
Last Name:DRONET
Suffix:JR
Gender:M
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5251 ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-8292
Mailing Address - Country:US
Mailing Address - Phone:337-562-4274
Mailing Address - Fax:
Practice Address - Street 1:4205 RYAN ST # 91895
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-4511
Practice Address - Country:US
Practice Address - Phone:337-945-0349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-109103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst