Provider Demographics
NPI:1518730043
Name:WHITBY, PIETRA (BT)
Entity Type:Individual
Prefix:
First Name:PIETRA
Middle Name:
Last Name:WHITBY
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6524 SAND LAKE SOUND RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7612
Mailing Address - Country:US
Mailing Address - Phone:305-615-9335
Mailing Address - Fax:
Practice Address - Street 1:6524 SAND LAKE SOUND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7612
Practice Address - Country:US
Practice Address - Phone:305-615-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician