Individual
MS. ANGELIQUE M WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1801 SE HILLMOOR DR STE B101-103, PORT ST LUCIE, FL 34952-7553
(772) 475-3350
Mailing address
428 SW AKRON AVE, STUART, FL 34994-2951
(772) 475-3350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021528900
—
FL
Enumeration date
05/29/2008
Last updated
01/02/2026
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