Provider Demographics
NPI:1700363017
Name:WHITNEY, PATRICIA JOY (MA SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:JOY
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MA SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CREST DR
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:13733-3181
Mailing Address - Country:US
Mailing Address - Phone:770-374-6603
Mailing Address - Fax:
Practice Address - Street 1:127 CREST DR
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:13733-3181
Practice Address - Country:US
Practice Address - Phone:770-374-6603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst