Individual
AMBER WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 PARK CENTRE DR, KERNERSVILLE, NC 27284-3598
(704) 780-4271
Mailing address
9017 LARRIMORE LN, BELEWS CREEK, NC 27009-9112
(336) 455-1863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
N/A
—
Enumeration date
11/01/2020
Last updated
11/01/2020
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