Individual
CARSON WHITFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
6902 PINE ST, OMAHA, NE 68106-2855
(402) 559-8863
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-7599
(402) 559-6418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74942
NE
Other
Enumeration date
01/24/2020
Last updated
05/16/2025
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