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NPI Code Detail

MEDICARE: ANTOINETTE WALKER MA

MEDICARE: ANTOINETTE WALKER MA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1215307079
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE WALKER MA
Provider Business Mailing Address
First Line : 4575 SE DIXIE HWY
Second Line :
City : STUART
State : FL
Zip : 34997-6826
Country : US
Telephone Number : 360-480-1731
Fax Number :
Provider Business Practice Location Address
First Line : 1100 DEXTER AVE N
Second Line : SUITE 100
City : SEATTLE
State : WA
Zip : 98109-3598
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 10/05/2015

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Directions to “ ANTOINETTE WALKER MA” Practice Location

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