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Individual
DEAISA WALKER
Active
Individual
DEAISA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1403012820
—
NV
Enumeration date
06/14/2018
Last updated
06/18/2019
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