Individual
ADAM WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
PO BOX 309, CABIN CREEK, WV 25035-0309
(681) 265-5090
Mailing address
PO BOX 309, CABIN CREEK, WV 25035-0309
(681) 265-5090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-988
WV
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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