Individual
MR. SEAN KARSON WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Mailing address
2612 GREEN OAKS DR, MONTGOMERY, AL 36107-3122
(334) 425-4423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285282723
NPI
—
Enumeration date
10/08/2021
Last updated
08/23/2022
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