Callan Nichole Whited
Behavior Technician in Mansfield, OH. Individual provider (NPI-1).
NPI number1699488015
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1699488015
- Entity type
- Individual (NPI-1)
- Name
- Callan Nichole Whited
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2022
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1033 Larchwood RdMansfield, OH 44907-2424
Phone 419-747-4122 · Fax 419-747-4126
Mailing address
22 Mack AveShelby, OH 44875-1515
Phone 567-560-1822
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 572 Behavior Technician providers in Mansfield · All 3,375 providers in Mansfield
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