Search › Illinois › 103K00000X
Mallory Walters, BCBA
NPI 1760068803 · on the registry since 2021
Practice
- Address
- 138 Field Grove Ct
East Peoria, IL 61611 - Phone
- (713) 732-7049
Additional practice sites
- 9374 Olive Blvd Ste 101, Olivette, MO
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois