Mallory Sue Welch
Behavior Technician in Tulsa, OK. Individual provider (NPI-1).
NPI number1043076201
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1043076201
- Entity type
- Individual (NPI-1)
- Name
- Mallory Sue Welch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Feb 26, 2024
- Last updated
- Feb 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4908 S Sheridan RdTulsa, OK 74145-5712
Phone 918-984-9153
Mailing address
4908 S Sheridan RdTulsa, OK 74145-5712
Phone 918-984-9153
Is something wrong?
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All 745 Behavior Technician providers in Tulsa · All 22,692 providers in Tulsa
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