Individual
REBEKAH WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 NORTHDALE BLVD, TAMPA, FL 33624-1075
(813) 485-8444
Mailing address
15521 CADEMAN CT, FRISCO, TX 75035-1022
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-24-15397
BCABA
TX
Enumeration date
08/19/2024
Last updated
08/19/2024
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