Individual
CAITLIN MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 DR MARTIN LUTHER KING ST N, ST PETERSBURG, FL 33702-3001
(800) 356-4049
(941) 485-0519
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36079
FL
Other
Enumeration date
07/07/2017
Last updated
12/09/2021
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