Individual
CAITLIN ELIZABETH SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(612) 331-9413
Mailing address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75928
MN
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/02/2021
Last updated
10/16/2024
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