Individual
NICHOLAS CARR WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA, LBA
Contact information
Practice address
175 MARKET PLACE DR STE A, LOUISVILLE, KY 40229-4471
(502) 251-7002
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
282168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35683
BCBA CERTIFICATE
—
Enumeration date
07/06/2018
Last updated
12/02/2022
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