Individual
KERRI L WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(401) 270-7110
Mailing address
23 PRIMROSE DR, RIVERSIDE, RI 02915-2426
(401) 499-9416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52814
RI
103K00000X
Behavior Analyst
—
RI
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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