Individual
KHADAJHA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 RUCKER BLVD STE 3, ENTERPRISE, AL 36330-3630
(334) 347-5003
(334) 440-8288
Mailing address
18 EVELYN DR, MIDLAND CITY, AL 36350-6260
(334) 479-2529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171864
AL
Other
Enumeration date
06/21/2021
Last updated
06/25/2021
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