MEDICARE: MADISON ANN WALTERS

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	106S00000X	Behavior Technician		NC

General Provider Information

NPI Number	:	1679442891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON ANN WALTERS

Provider Business Mailing Address
First Line	:	5644 LINVILLE DR
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-5551
Country	:	US
Telephone Number	:	828-234-0247
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 MAIN AVE NE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-5121
Country	:	US
Telephone Number	:	828-222-3749
Fax Number	:	828-738-1651

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

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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Directions to “ MADISON ANN WALTERS ” Practice Location

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