Individual
MELISSA MARGARET WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-CT
Contact information
Practice address
10 PROGRESS DR STE 2B, SHELTON, CT 06484-6294
(475) 239-5512
Mailing address
515 WEST AVE, MB 203, NORWALK, CT 06850
(203) 240-1537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
893
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38094
BACB CERTIFICATION
—
01
—
893
LICENSED BEHAVIOR ANALYST
CT
Enumeration date
09/02/2020
Last updated
11/05/2024
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