Mrs. Latresia Machielle Walters
Behavior Analyst
1300 Lowe Rd Unit 2103
Mansfield
, Texas 76063-8726
Mrs. Latresia Machielle Walters
Behavior Analyst
1300 Lowe Rd Unit 2103
Mansfield
, Texas 76063-8726
(817) 201-4589
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Mrs. Latresia Machielle Walters
- 1300 Lowe Rd Unit 2103
- Mansfield, TX
- Zip : 76063-8726
- Phone : (817) 201-4589
Second Address
- Mrs. Latresia Machielle Walters
- 1300 Lowe Rd Unit 2103
- Mansfield, TX
- Zip : 76063-8726
- Phone : (817) 201-4589
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003411968 |
|---|---|
| Provider Name | Mrs. Latresia Machielle Walters |
| First Address | Mansfield, TX 76063-8726 |
| Second Address | Mansfield, TX 76063-8726 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2020 |
| Last Update Date | 30/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.