Provider Demographics
NPI:1649532383
Name:WHITE, LI-OR (MASTERS IN EDUCATION)
Entity type:Individual
Prefix:
First Name:LI-OR
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:MASTERS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7862 RED MAHOGANY RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7530
Mailing Address - Country:US
Mailing Address - Phone:954-461-1306
Mailing Address - Fax:
Practice Address - Street 1:5850 ATLANTIC AVE STE 112
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8427
Practice Address - Country:US
Practice Address - Phone:561-336-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst