Individual
BANNAH BROOKE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 CHERRY RD, ROCK HILL, SC 29732-2616
(803) 792-0771
Mailing address
5726 ADICKS CT, YORK, SC 29745-9487
(803) 579-6201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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