Jacob Liam Welch
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1831963156
StatusActive
Last updated in NPPESNov 7, 2023
Details
- NPI
- 1831963156
- Entity type
- Individual (NPI-1)
- Name
- Jacob Liam Welch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 7, 2023
- Last updated
- Nov 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1402 Sw 12th Ave Apt 1Portland, OR 97201-3516
Phone 503-213-0024
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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