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NPI Code Detail

MEDICARE: KERRI WHITNEY RBT

MEDICARE:   KERRI  WHITNEY  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior TechnicianRBT-15-07121

General Provider Information

NPI Number : 1063902443
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI WHITNEY RBT
Provider Business Mailing Address
First Line : 308 GREENVILLE BLVD SE STE B1
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5758
Country : US
Telephone Number : 252-341-4192
Fax Number :
Provider Business Practice Location Address
First Line : 4161 SYCAMORE DAIRY RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-3460
Country : US
Telephone Number : 252-341-4192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2018
Last Update Date : 06/25/2025

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Directions to “ KERRI WHITNEY RBT” Practice Location

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