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Individual

ELIZABETH MARIE WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(855) 324-0885
Mailing address
86 IVEY WAY, MUNFORD, AL 36268-7126
(205) 434-0176

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15776
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871885871
BEHAVIOR ANALYST
AL
Enumeration date
10/21/2014
Last updated
06/29/2022
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