Individual
ALEXANDER DOMINIQUE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4490 WASHINGTON RD STE 14, EVANS, GA 30809-5898
(706) 250-0022
(706) 826-2771
Mailing address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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