Whitehead, Charnetta Kristin Yvonne
Whitehead, Charnetta Kristin Yvonne is an individual health care provider with primary practice located at 12530 Fairwood Pkwy Ste 102 , Bowie MD 20720-6357. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Whitehead, Charnetta Kristin Yvonne can be contacted via phone (216) 903-5655.Contact Information
Primary practice address
12530 Fairwood Pkwy Ste 102
Bowie MD 20720-6357
Phone: (216) 903-5655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | LBA642 | Maryland |
Profile Details
| NPI number | 1114360823 |
|---|---|
| LBN Legal business name | Whitehead, Charnetta Kristin Yvonne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2013 |
| Last updated | Sep 9th, 2025 - about last year |
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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