Provider Demographics
NPI:1700665478
Name:WALKER, ASHLEY J (BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:J
Last Name:WALKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 TOURNAMENT DR S
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8808
Mailing Address - Country:US
Mailing Address - Phone:901-484-8312
Mailing Address - Fax:
Practice Address - Street 1:862 WINTERFIELDS DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7965
Practice Address - Country:US
Practice Address - Phone:901-484-8312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1340103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst