Provider Demographics
NPI:1124452719
Name:WELSH, MARIA FERNANDA (BCBA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:WELSH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 FULTON AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3202
Mailing Address - Country:US
Mailing Address - Phone:424-274-3649
Mailing Address - Fax:661-254-7108
Practice Address - Street 1:4555 FULTON AVE APT 212
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3202
Practice Address - Country:US
Practice Address - Phone:424-274-3649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst