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
1	106S00000X	Behavior 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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