Healthcare Provider Details

I. General information

NPI: 1275474181
Provider Name (Legal Business Name): MS. CHRISTINE MONICA MARY WHYTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1158 SPRINGFIELD ST
FEEDING HILLS MA
01030-2185
US

IV. Provider business mailing address

189 ESSEX ST APT J
INDIAN ORCHARD MA
01151-1566
US

V. Phone/Fax

Practice location:
  • Phone: 413-356-9116
  • Fax: 413-356-9116
Mailing address:
  • Phone: 413-426-7906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number106S00000X
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: