NPI 1023860202

Malia Waller, MEDBCBALBA

Practitioner Behavior Analyst Warrenton, VA

Practice location

Address: 7442 Coblentz Ave, Warrenton, VA 20187-9001
Phone: (703) 623-5471

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0133003530 (VA)

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Registry record

NPI: 1023860202
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.