Individual
MRS. CALLIE DORCAS WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
150 JEFFERSON AVE, SPARTA, TN 38583-1003
(931) 510-1664
Mailing address
150 JEFFERSON AVE, SPARTA, TN 38583-1003
(931) 510-1664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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