Provider Demographics
NPI:1972736296
Name:DIMATTEO, WHITNEY SHARP (MS, MED, BCBA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SHARP
Last Name:DIMATTEO
Suffix:
Gender:F
Credentials:MS, MED, BCBA
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:KAY
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11285 ELKINS RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1259
Mailing Address - Country:US
Mailing Address - Phone:919-272-4022
Mailing Address - Fax:
Practice Address - Street 1:11285 ELKINS RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1259
Practice Address - Country:US
Practice Address - Phone:678-329-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-09-5341103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst