Individual
MICHELLE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7128 SEA PINE DR, INDIANAPOLIS, IN 46250-4138
(630) 205-4356
(317) 842-4428
Mailing address
7128 SEA PINE DR, INDIANAPOLIS, IN 46250-4138
(630) 205-4356
(317) 842-4428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0125063
IN
Other
Enumeration date
06/29/2012
Last updated
04/04/2019
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