Provider Demographics
NPI:1023904166
Name:WARD, WHITNEY ELISE (BCBA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ELISE
Last Name:WARD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 TALLEY XING APT 332
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-1665
Mailing Address - Country:US
Mailing Address - Phone:336-817-9533
Mailing Address - Fax:
Practice Address - Street 1:6445 SHILOH RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-8406
Practice Address - Country:US
Practice Address - Phone:470-239-1946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-25-82000103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst