Individual
SHEANTAVIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
887 LAWRY AVE, LAS VEGAS, NV 89106-2350
(702) 824-0004
Mailing address
887 LAWRY AVE, LAS VEGAS, NV 89106-2350
(702) 824-0004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
NV
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
03/18/2026
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