Individual
MS. ALICE M WALKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1845 LIBERTY PKWY NW, ATLANTA, GA 30318-9383
(334) 744-2648
Mailing address
1845 LIBERTY PKWY NW, ATLANTA, GA 30318-9383
(334) 744-2648
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11860
CA
Other
Enumeration date
07/13/2012
Last updated
11/21/2013
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