Mallory Walters, BCBA
NPI #1760068803 in East Peoria, Illinois
Provider Information
- NPI Number
- 1760068803
- Entity Type
- Individual
- Name
- Mallory Walters, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Mar 19, 2021
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 138 FIELD GROVE CT
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-4323
- Phone
- (713) 732-7049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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