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General NPI Number Information
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NPI Number | 1760910566
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Entity Type | Individual
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Provider Name | VICTORIA WALKER MSPSY, BCBA, COBA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 4310 AVONDALE LN NW
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City | CANTON
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State | OH
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Zip | 44708-1670
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Country | US
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Telephone | 330-685-3885
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Fax | 330-319-8330
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Provider Business Mailing Address
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Address Line | 4310 AVONDALE LN NW
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City | CANTON
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State | OH
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Zip | 44708-1670
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Country | US
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Telephone | 330-685-3885
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Fax | 330-319-8330
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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 | 1-16-21404
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License Number State | OH
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