Healthcare Provider Details

I. General information

NPI: 1093676777
Provider Name (Legal Business Name): DLYNN ARIANNA WHITFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 E PRATT ST STE 360507
BALTIMORE MD
21202-3341
US

IV. Provider business mailing address

1200 LANDINGTON AVE
GWYNN OAK MD
21207-4751
US

V. Phone/Fax

Practice location:
  • Phone: 410-525-5005
  • Fax:
Mailing address:
  • Phone: 405-698-8141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: