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Individual

SHAYLON WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
38W601 CLUBHOUSE DR, ST CHARLES, IL 60175-6178
(847) 414-4090
Mailing address
38W601 CLUBHOUSE DR, ST CHARLES, IL 60175-6178
(847) 414-4090

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
739775
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
739775
EDUCATOR
IL
05
739775
IL
Enumeration date
05/10/2022
Last updated
05/10/2022
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