Most Relevant Information
Provider Data
| NPI Number: | 1003411968 |
| Provider Name: | LATRESIA MACHIELLE WALTERS BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/30/2020 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
501 CONGRESS AVE STE 150
AUSTIN
TX
787013575
Practice Location Phone/Fax
| Phone: | 8888809270 |
| Fax: |
Provider Mailing Location
350 FAIRWAY DR STE 101
DEERFIELD BCH
FL
334411834
Provider Mailing Phone/Fax
| Phone: | 8172014589 |
| Fax: |