Individual
MATTHEW JAMES WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S., BCBA
Contact information
Practice address
1946 POND ST, MADISON, WI 53704-8110
(608) 561-4352
Mailing address
1946 POND ST, MADISON, WI 53704-8110
(608) 561-4352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4-140
WI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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