Individual
JENNA WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51032
—
103K00000X
Behavior Analyst
1-21-51302
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/29/2017
Last updated
11/29/2022
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