Individual provider Active NPI

Danielle Walker

  • Behavior Analyst
  • Cordova, TN
National Provider Identifier
1376919852
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1869 Issued in MA
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

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
23-253052TNMDBehavior Technician
1869MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Autism Connections, LLC Behavior Analyst CurrentSince Aug 6, 2019 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.

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.

Verify at the official NPI Registry.