Individual
DANIELL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 S PARK RIDGE RD STE 102, BLOOMINGTON, IN 47401-8589
(812) 822-0189
Mailing address
5556 N MERIDIAN ST, INDIANAPOLIS, IN 46208-2658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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