Individual
ELAYNA DARLENE WHISENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 SW COTTONWOOD ST, GRANTS PASS, OR 97526-5823
(541) 441-2389
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10262617
OR
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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