Provider Demographics
NPI:1275061350
Name:CARTER, WHITNEY (MED BCBA)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MED BCBA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:MCMORRIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 N. DOBSON RD
Mailing Address - Street 2:STE F-2
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-9611
Mailing Address - Country:US
Mailing Address - Phone:480-722-1300
Mailing Address - Fax:480-422-3824
Practice Address - Street 1:3200 N DOBSON RD STE F-1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:731-614-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ226103K00000X
AZBEH-002262080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst