Provider Demographics
NPI:1396251401
Name:WHYTE, NAYELI Z
Entity type:Individual
Prefix:
First Name:NAYELI
Middle Name:Z
Last Name:WHYTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11744 ELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1307
Mailing Address - Country:US
Mailing Address - Phone:410-365-3607
Mailing Address - Fax:
Practice Address - Street 1:9500 ANNAPOLIS RD STE B2
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2062
Practice Address - Country:US
Practice Address - Phone:301-850-1148
Practice Address - Fax:301-850-1148
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician