Individual
CAITLIN GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W BROADWAY STE 800, SAN DIEGO, CA 92101-3546
(877) 418-2978
(954) 342-0273
Mailing address
501 W BROADWAY STE 800, SAN DIEGO, CA 92101-3546
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48244
CA
106E00000X
Assistant Behavior Analyst
0-19-9527
CA
Other
Enumeration date
12/28/2017
Last updated
04/20/2023
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