Individual
CAITLYN ANNA FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, BCBA
Contact information
Practice address
3107 MEETING STREET RD, NORTH CHARLESTON, SC 29405-7980
(843) 654-7464
Mailing address
8905 PLANTERS ROW LN, SUMMERVILLE, SC 29485-8968
(401) 545-0382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66372
RI
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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