Prather, Walter Witty

Prather, Walter Witty is an sole proprietor health care provider with primary practice located at 2887 N Hannon Hill Dr , Tallahassee FL 32309-8941. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Prather, Walter Witty can be contacted via phone (850) 894-2103.

Contact Information

Primary practice address
2887 N Hannon Hill Dr Tallahassee FL 32309-8941
Phone: (850) 894-2103
Fax: (850) 894-2105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 2445 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 1871 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-01-0566 Florida

Profile Details

NPI number 1427268309
LBN Legal business name Prather, Walter Witty
Credentials PH.D., BCBA-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Sep 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427268309 NPPES
Florida MEDICAID 7610441 00

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