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NPI Code Detail

MEDICARE: NEQUISHA TANGUERAY WALKER

MEDICARE: NEQUISHA TANGUERAY WALKER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477347037
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEQUISHA TANGUERAY WALKER
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 429 HERNDON CT
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-6267
Country : US
Telephone Number : 931-233-7534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2025
Last Update Date : 04/08/2025

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Directions to “ NEQUISHA TANGUERAY WALKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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