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NPI Code Detail

MEDICARE: ELESHA WHITEHEAD

MEDICARE:   ELESHA  WHITEHEAD
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154257269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELESHA WHITEHEAD
Provider Business Mailing Address
First Line : 2101 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-5671
Country : US
Telephone Number : 704-780-4271
Fax Number : 704-780-4271
Provider Business Practice Location Address
First Line : 2101 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-5671
Country : US
Telephone Number : 704-780-4271
Fax Number : 704-780-4271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ ELESHA WHITEHEAD ” Practice Location

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