Provider Demographics
NPI:1518458041
Name:WALKER, PATRICIA MARIE PIXLEY (QASP-S)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE PIXLEY
Last Name:WALKER
Suffix:
Gender:F
Credentials:QASP-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24442 US HIGHWAY 281 N APT 1216
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7235
Mailing Address - Country:US
Mailing Address - Phone:512-788-2714
Mailing Address - Fax:
Practice Address - Street 1:24442 US HIGHWAY 281 N APT 1216
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7235
Practice Address - Country:US
Practice Address - Phone:512-788-2714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9099106E00000X
106E00000X
TXQASP9099106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst