Provider Demographics
NPI:1508648528
Name:WHITAKER-ADAMS, SABRINA RENEE
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:RENEE
Last Name:WHITAKER-ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CURTIS ASKINS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-1465
Mailing Address - Country:US
Mailing Address - Phone:931-993-4638
Mailing Address - Fax:
Practice Address - Street 1:105 CURTIS ASKINS BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-1465
Practice Address - Country:US
Practice Address - Phone:931-993-4638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst