# TALIA WAITKUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174076293
- **Gender:** F
- **Credential:** LCSW BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 104100000X | Social Worker | SW23067 | FL | — |
| 1041C0700X | Clinical Social Worker | 6192C | AL | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/14/2025
