Individual
MRS. LATRESIA MACHIELLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
501 CONGRESS AVE STE 150, AUSTIN, TX 78701-3575
(888) 880-9270
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BCH, FL 33441-1834
(817) 201-4589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
12/11/2023
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