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Individual
JOSHUA RAY WALTERS
Active
Individual
JOSHUA RAY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-1551-170291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
BEHAVIORAL TECHNICIAN
TX
Enumeration date
05/19/2021
Last updated
05/19/2021
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