Individual
MR. WALTER CARLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
410 S HAMPTON CT, COLUMBIA, SC 29209-1997
(803) 563-8224
Mailing address
410 S HAMPTON CT, COLUMBIA, SC 29209-1997
(803) 351-3004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
02/06/2024
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