Provider Demographics
NPI:1659158749
Name:DARIAH, WHITNEE CATINA
Entity Type:Individual
Prefix:
First Name:WHITNEE
Middle Name:CATINA
Last Name:DARIAH
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 1:1712 N 16TH CT APT B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2893
Mailing Address - Country:US
Mailing Address - Phone:786-436-8532
Mailing Address - Fax:
Practice Address - Street 1:1712 N 16TH CT APT B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-2893
Practice Address - Country:US
Practice Address - Phone:786-436-8532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-296343106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician