MEDICARE: ZAINAB MATILDA 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
1	106S00000X	Behavior Technician	A00082955	MD
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1376300210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAINAB MATILDA WALKER

Provider Business Mailing Address
First Line	:	9900 WASHINGTON BLVD N APT 219
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-1974
Country	:	US
Telephone Number	:	240-424-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 WASHINGTON BLVD N APT 219
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-1974
Country	:	US
Telephone Number	:	240-424-4692
Fax Number	:

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

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	05/19/2025

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Directions to “ ZAINAB MATILDA WALKER ” Practice Location

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