Most Relevant Information
Provider Data
| NPI Number: | 1003373234 |
| Provider Name: | JEREMY WALKER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-44842 |
Most Important Dates
| Enumeration Date: | 02/24/2019 |
| Last Updated: | 12/16/2020 |
Provider Practice Location
29995 TECHNOLOGY DR STE 200
MURRIETA
CA
925632633
Practice Location Phone/Fax
| Phone: | 9512977460 |
| Fax: |
Provider Mailing Location
45111 RIVERSTONE CT
TEMECULA
CA
925926527
Provider Mailing Phone/Fax
| Phone: | 9515951564 |
| Fax: |