Active NPI
Danielle Walker
- Behavior Analyst
- Cordova, TN
National Provider Identifier
1376919852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1869
- Practice address
- 146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396 - Phone
- (901) 654-5693
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-253052 | TN | |
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1869 | MA | Primary |
Addresses
Primary practice location
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Mailing address
95 Lincoln St
Framingham, MA 01702-8205
Other practice location 1
132 Robbs Hill Rd
Lunenburg, MA 01462
Phone (774) 270-1766
Other practice location 2
1132 Avalon Way
Shrewsbury, MA 01545-4178
Phone (901) 552-6251
Other practice location 3
1132 Avalon Way
Shrewsbury, MA 01545-4178
Phone (901) 552-6251
Other practice location 4
345A Greenwood Street
Suite B
Worecester, MA 01607
Phone (508) 363-0200
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 |
|---|---|---|---|
| 23-253052 | TN | MD | Behavior Technician |
| 1869 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Autism Connections, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Lunenburg, MA
- NPI 1417468364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1376919852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 TIMBER CREEK DR STE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184396",
"telephone_number": "901-654-5693"
}
],
"practiceLocations": [
{
"address_1": "132 Robbs Hill Rd",
"address_purpose": "LOCATION",
"city": "Lunenburg",
"state": "MA",
"postal_code": "01462",
"country_code": "US",
"telephone_number": "774-270-1766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1132 Avalon Way",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "MA",
"postal_code": "015454178",
"country_code": "US",
"telephone_number": "901-552-6251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1132 Avalon Way",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "MA",
"postal_code": "015454178",
"country_code": "US",
"telephone_number": "901-552-6251",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345A Greenwood Street",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Worecester",
"state": "MA",
"postal_code": "01607",
"country_code": "US",
"telephone_number": "508-363-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "DANIELLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "23-253052",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.