Individual
MR. WALTER JAMESON WEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 GILEAD LN, STATESVILLE, NC 28625-2792
(302) 331-3559
Mailing address
151 GILEAD LN, STATESVILLE, NC 28625-2792
(302) 331-3559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/17/2015
Last updated
08/19/2024
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