Ellie Maryn Walter

NPI #1902506801 in La Palma, California

Provider Information

NPI Number: 1902506801
Entity Type: Individual
Name: Ellie Maryn Walter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 8, 2023
Last Updated: Mar 8, 2023

Practice Location

Address: 6 CENTERPOINTE DR STE 700
City: La Palma
State: California
ZIP Code: 90623-2545
Phone: (800) 939-3410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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