Individual
BRYCE ROBERT WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4933 S 1500 W, RIVERDALE, UT 84405-7175
(385) 695-2203
Mailing address
4933 1500 W #110, 4933 1500 W, RIVERDALE, UT 84405
(385) 223-0341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/29/2021
Last updated
05/12/2023
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