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Tamaya Chanall Welch

Behavior Technician in Bridgeport, MI. Individual provider (NPI-1).

NPI number1154012003
StatusActive
Last updated in NPPESMay 19, 2023

Details

NPI
1154012003
Entity type
Individual (NPI-1)
Name
Tamaya Chanall Welch
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2023
Certification date
May 19, 2023
Last updated
May 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655

Phone 989-401-1239

Mailing address

5039 Villa Linde Pkwy Ste 306296
Flint, MI 48532-3450

Phone 989-401-2244

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