Provider Demographics
NPI:1174841415
Name:HESTER, WHITNEY FENN (MS, BCBA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:FENN
Last Name:HESTER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 LILLY AVE
Mailing Address - Street 2:
Mailing Address - City:TALLASSEE
Mailing Address - State:AL
Mailing Address - Zip Code:36078-2058
Mailing Address - Country:US
Mailing Address - Phone:334-991-0484
Mailing Address - Fax:
Practice Address - Street 1:413 LILLY AVE
Practice Address - Street 2:
Practice Address - City:TALLASSEE
Practice Address - State:AL
Practice Address - Zip Code:36078-2058
Practice Address - Country:US
Practice Address - Phone:334-991-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-06-2996103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst