Most Relevant Information
Provider Data
| NPI Number: | 1003677287 |
| Provider Name: | MANDISA WHITT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 01/16/2024 |
Provider Practice Location
8860 BELAIR RD
NOTTINGHAM
MD
212362401
Practice Location Phone/Fax
| Phone: | 4433307900 |
| Fax: |
Provider Mailing Location
8860 BELAIR RD
NOTTINGHAM
MD
212362401
Provider Mailing Phone/Fax
| Phone: | 4433307900 |
| Fax: |