Individual
CAROLINE C CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2271963
ID
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/16/2026
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