Healthcare Provider Details

I. General information

NPI: 1194665315
Provider Name (Legal Business Name): WHITTNEY HAMMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 HAVEN DR STE 2
DOTHAN AL
36301-2908
US

IV. Provider business mailing address

101 KNIGHT CT APT 131
DOTHAN AL
36303-6551
US

V. Phone/Fax

Practice location:
  • Phone: 334-709-4024
  • Fax:
Mailing address:
  • Phone: 334-446-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: