MEDICARE: BRAYDEN JAMES WELCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	253331953	UT

General Provider Information

NPI Number	:	1225971245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRAYDEN JAMES WELCH

Provider Business Mailing Address
First Line	:	159 N 4700 W
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-9409
Country	:	US
Telephone Number	:	385-626-9873
Fax Number	:	801-872-8757

Provider Business Practice Location Address
First Line	:	159 N 4700 W
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-9409
Country	:	US
Telephone Number	:	385-626-9873
Fax Number	:	801-872-8757

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ BRAYDEN JAMES WELCH ” Practice Location

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