Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Nicole Walter

Individual provider Behavior Analyst · NPI 1417362179

Jessica Nicole Walter is a Behavior Analyst in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

879 W 190th St
Gardena, CA 90248-4220
Phone: (310) 329-9115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-36586 (CA)

Record details

NPI number1417362179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

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