Provider Demographics
NPI:1811645401
Name:WALTON, ERIN L (BCBA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:WALTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-3628
Mailing Address - Country:US
Mailing Address - Phone:317-847-3635
Mailing Address - Fax:
Practice Address - Street 1:2315 FOWLER ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-3628
Practice Address - Country:US
Practice Address - Phone:317-847-3635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-22-57782103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst