Warden, Mary Whitney

Warden, Mary Whitney is an individual health care provider with primary practice located at 580 S Jefferson Ave Ste 101 , Cookeville TN 38501-4672. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Warden, Mary Whitney can be contacted via phone (888) 423-2559.

Contact Information

Primary practice address
580 S Jefferson Ave Ste 101 Cookeville TN 38501-4672
Phone: (888) 423-2559
Fax: (888) 423-2559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Tennessee

Profile Details

NPI number 1649780263
LBN Legal business name Warden, Mary Whitney
Credentials MA BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated May 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649780263 NPPES
Tennessee MEDICAID Q033102

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