Provider Demographics
NPI:1821892258
Name:WALKER, MAR'QUISHINAE
Entity type:Individual
Prefix:
First Name:MAR'QUISHINAE
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SHIELDS RD NE APT 11303
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-7617
Mailing Address - Country:US
Mailing Address - Phone:561-388-4846
Mailing Address - Fax:
Practice Address - Street 1:45 SHIELDS RD NE APT 11303
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35811-7617
Practice Address - Country:US
Practice Address - Phone:561-388-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician