Individual
MRS. JAMIE LEE WALKER-FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
15 1ST ST SE, STANLEY, ND 58784-5878
(701) 628-2990
Mailing address
314 MCTAVISH AVE, WHITE EARTH, ND 58794-5003
(253) 389-1874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L73
ND
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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