Individual
DESIREE ANN WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
314 10TH AVE S STE 100, WAITE PARK, MN 56387-1400
(612) 767-7222
Mailing address
11855 ULYSSES ST NE STE 120, BLAINE, MN 55434-3948
(612) 454-5544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0594
MN
Other
Enumeration date
11/09/2021
Last updated
03/04/2026
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