MEDICARE: NATALIE WELNER MS, BCBA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1659603041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE WELNER MS, BCBA

Provider Business Mailing Address
First Line	:	152 VIA D ESTE
Second Line	:	APT 903
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3966
Country	:	US
Telephone Number	:	954-632-1232
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 S UNIVERSITY DR
Second Line	:	SUITE # 413
City	:	DAVIE
State	:	FL
Zip	:	33328-5312
Country	:	US
Telephone Number	:	754-223-5286
Fax Number	:

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

Provider Enumeration Date	:	02/09/2010
Last Update Date	:	05/06/2013

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