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NPI Code Detail

MEDICARE: MARY ELIZABETH ANN WHITT BCBA

MEDICARE: MARY ELIZABETH ANN WHITT BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1346108792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH ANN WHITT BCBA
Provider Business Mailing Address
First Line : 2930 DUNLIN TERRACE DR
Second Line :
City : KATY
State : TX
Zip : 77494-3192
Country : US
Telephone Number : 804-363-0212
Fax Number :
Provider Business Practice Location Address
First Line : 23000 HIGHLAND KNOLLS BLVD
Second Line :
City : KATY
State : TX
Zip : 77494-8341
Country : US
Telephone Number : 346-326-6773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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