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Charnetta Kristin Yvonne Whitehead

Behavior Analyst β€’ Bowie, MD

Active NPI 1114360823 Individual Practitioner Female Practitioner
Practice location in NPPES

12530 Fairwood Pkwy Ste 102
Bowie, MD 207206357

Call 2169035655 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12530 Fairwood Pkwy Ste 102

Bowie, MD 207206357

Telephone 2169035655
Organization at the Same NPPES Address or Phone
Ukare Wellness Clinic Facility NPI 1336808914

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bowie and Maryland

22 active clinicians are listed under Behavior Analyst with a practice address in Bowie, MD (1,553 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bowie

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MD LBA642

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Eronmwon Okonjo , CRNP

Nurse Practitioner

NPI 1447551072

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 09, 2025

Registered at 12530 FAIRWOOD PKWY STE 102, BOWIE, MD 207206357 (Tel: 2169035655)

πŸ“
Updated Business Mailing Address September 09, 2025

Registered at 12530 FAIRWOOD PKWY STE 102, BOWIE, MD 207206357 (Tel: 2169035655)

πŸ‘€
Provider Name / Credentials Updated September 09, 2025

Recorded as CHARNETTA WHITEHEAD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2025

Behavior Analyst (license number reported to NPPES: MD LBA642)

βœ…
NPI Profile Active November 28, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 28, 2016

Registered at 1953 FALLING SUN CIR, VIRGINIA BEACH, VA 234546506 (Tel: 2169035655)

πŸ“
Business Mailing Address (Initial Record) November 28, 2016

Registered at 1953 FALLING SUN CIR, VIRGINIA BEACH, VA 234546506 (Tel: 2169035655)

πŸ‘€
Provider Name / Credentials (Initial Record) November 28, 2016

Recorded as CHARNETTA EPPS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2016

Assistant Behavior Analyst

🟒
Initial NPI Registration & Enumeration April 11, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114360823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2013
Last Update: September 09, 2025
Sole Proprietor: No

Mailing Address

12530 Fairwood Pkwy Ste 102

Bowie, MD 207206357

Phone: 2169035655

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.