Individual
MS. MARY WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8808 OLD SPANISH TRL, LITTLE ROCK, AR 72227-3240
(501) 551-9056
Mailing address
8808 OLD SPANISH TRL, LITTLE ROCK, AR 72227-3240
(501) 551-9056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78331
AR
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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