Individual
ALEXXUS D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 TOWNE PARK DR, RINCON, GA 31326-5156
(912) 295-5317
Mailing address
800 TOWNE PARK DR, RINCON, GA 31326-5156
(912) 295-5317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
01/25/2022
Last updated
01/25/2022
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