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NPI Code Detail

MEDICARE: LINDA RILEY WALTON BT

MEDICARE: LINDA RILEY WALTON BT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1992523997
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA RILEY WALTON BT
Provider Business Mailing Address
First Line : 3210 N CROATAN HWY STE 1B
Second Line :
City : KILL DEVIL HILLS
State : NC
Zip : 27948-8515
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Provider Business Practice Location Address
First Line : 3210 N CROATAN HWY STE 1B
Second Line :
City : KILL DEVIL HILLS
State : NC
Zip : 27948-8515
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 09/30/2024

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Directions to “ LINDA RILEY WALTON BT” Practice Location

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