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NPI Code Detail

MEDICARE: LAUREN WALKER MA, BCBA

MEDICARE: LAUREN WALKER MA, 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1649451089
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN WALKER MA, BCBA
Provider Business Mailing Address
First Line : 2101 W ENTERPRISE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5839
Country : US
Telephone Number : 765-896-7140
Fax Number : 765-741-0310
Provider Business Practice Location Address
First Line : 2101 W ENTERPRISE AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47304-5839
Country : US
Telephone Number : 765-896-7140
Fax Number : 765-741-0310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 05/01/2025

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