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General NPI Number Information
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NPI Number | 1396359873
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Entity Type | Individual
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Provider Name | MELISSA MARGARET WALKER BCBA, LBA-CT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 10 PROGRESS DR STE 2B
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City | SHELTON
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State | CT
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Zip | 06484-6294
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Country | US
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Telephone | 475-239-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 515 WEST AVE MB 203
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City | NORWALK
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State | CT
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Zip | 06850
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Country | US
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Telephone | 203-240-1537
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 893
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License Number State | CT
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