Individual
CAITLYN BROOKE MCEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 E HICKORY ST, DENTON, TX 76205-4310
(940) 222-8556
Mailing address
106 LOYD ST, YANTIS, TX 75497-2728
(903) 335-2178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12152793
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12152793
BCBA
—
Enumeration date
08/27/2021
Last updated
06/08/2023
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