Individual
MRS. MISTY ADINA WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2620 COUNTRY CLUB DR, MADISONVILLE, KY 42431-3872
(270) 584-3109
Mailing address
2620 COUNTRY CLUB DR, MADISONVILLE, KY 42431-3872
(270) 584-3109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
294469
KY
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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