Individual
BRANDI WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E 56TH ST UNIT 201, CHICAGO, IL 60637
(910) 257-8945
Mailing address
1616 E 56TH ST UNIT 201, CHICAGO, IL 60637-2705
(910) 257-8945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
09/02/2019
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