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NPI Code Detail

MEDICARE: JONIA WALKER

MEDICARE:   JONIA  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 : 1821922238
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONIA WALKER
Provider Business Mailing Address
First Line : 1000 SWN DR
Second Line :
City : CONWAY
State : AR
Zip : 72032-2557
Country : US
Telephone Number : 501-328-3274
Fax Number : 501-328-3274
Provider Business Practice Location Address
First Line : 409 DAISY DR UNIT F2
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-7411
Country : US
Telephone Number : 918-525-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ JONIA WALKER ” Practice Location

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