Individual
DR. WALTER WITTY PRATHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D
Contact information
Practice address
2887 N HANNON HILL DR, TALLAHASSEE, FL 32309-8941
(850) 894-2103
(850) 894-2105
Mailing address
2887 N HANNON HILL DR, TALLAHASSEE, FL 32309-8941
(850) 894-2103
(850) 894-2105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 2445
FL
103K00000X
Behavior Analyst
1-01-0566
FL
106H00000X
Marriage & Family Therapist
Primary
MT 1871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7610441 00
—
FL
Enumeration date
05/22/2007
Last updated
09/09/2010
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