Individual
MR. MICAH ELISHA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1645 STABLE RUN DR, CORDOVA, TN 38016-7624
(901) 616-3846
Mailing address
1645 STABLE RUN DR, CORDOVA, TN 38016-7624
(901) 616-3846
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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