Individual
ALEX BURTON WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1887 MONTEREY HWY STE 225, SAN JOSE, CA 95112-6192
(408) 706-6855
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52532
CA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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