Provider Demographics
NPI:1366155541
Name:WALKER, PRECIOUS DEVONA (RBT)
Entity type:Individual
Prefix:MRS
First Name:PRECIOUS
Middle Name:DEVONA
Last Name:WALKER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MRS
Other - First Name:PRECIOUS
Other - Middle Name:D
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:1831 PINE COVE CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-9242
Mailing Address - Country:US
Mailing Address - Phone:336-954-8729
Mailing Address - Fax:
Practice Address - Street 1:1831 PINE COVE CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-9242
Practice Address - Country:US
Practice Address - Phone:336-954-8729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician