Mark Devan Whitacre

NPI #1770346603 in Berryville, Virginia

Provider Information

NPI Number: 1770346603
Entity Type: Individual
Name: Mark Devan Whitacre
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2024
Last Updated: Feb 2, 2024

Practice Location

Address: 180 GRAFTON LN
City: Berryville
State: Virginia
ZIP Code: 22611-2576
Phone: (540) 955-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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