Active NPI
Jennifer Nicole Walker, LSW
- Behavior Analyst
- Lancaster, PA
National Provider Identifier
1083013379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- SW128482
- Practice address
- 2503 Columbia Ave
Lancaster, PA 17603-4111 - Phone
- (214) 415-2152
- NPI assigned
- Aug 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | SW128482 | PA | Primary |
Addresses
Primary practice location
2503 Columbia Ave
Lancaster, PA 17603-4111
Mailing address
2503 Columbia Ave
Lancaster, PA 17603-4111
Phone (214) 415-2152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW128482 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1083013379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034111",
"telephone_number": "214-415-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034111",
"telephone_number": "214-415-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "SW128482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.