Individual
NAIYA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9374 OLIVE BLVD, SAINT LOUIS, MO 63132-3267
(314) 932-2402
Mailing address
3438 S JEFFERSON AVE, SAINT LOUIS, MO 63118-3120
(314) 584-0297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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