Individual
GRACE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02911-3410
(530) 401-1631
Mailing address
61 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02911-3410
(530) 401-1631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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