Provider Demographics
NPI:1649502618
Name:WALKER, ASHLIE GRILL (BCBA)
Entity type:Individual
Prefix:MS
First Name:ASHLIE
Middle Name:GRILL
Last Name:WALKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
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Mailing Address - Street 1:2215 SUMMER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1585
Mailing Address - Country:US
Mailing Address - Phone:205-253-6903
Mailing Address - Fax:205-278-5869
Practice Address - Street 1:4244 CAHABA HEIGHTS CT
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5711
Practice Address - Country:US
Practice Address - Phone:205-253-6903
Practice Address - Fax:205-278-5869
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1106749103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst