Individual
CAITLIN EILEEN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 COTTAGE ST, WARWICK, NY 10990-1202
(917) 273-3571
Mailing address
4 COTTAGE ST, WARWICK, NY 10990-1202
(917) 273-3571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9219910
NY
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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