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NPI Code Detail

MEDICARE: MS. DAWN LILLIAN WALKER RBT

MEDICARE: MS. DAWN LILLIAN WALKER RBT
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
1225400000XRehabilitation Practitioner
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1447511985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN LILLIAN WALKER RBT
Provider Business Mailing Address
First Line : 7261 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 702-396-0101
Fax Number :
Provider Business Practice Location Address
First Line : 7261 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 702-396-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 05/17/2022

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