Individual
CAITLIN MAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
654 N EASTON RD, GLENSIDE, PA 19038-4310
(484) 904-3201
Mailing address
654 N EASTON RD, GLENSIDE, PA 19038-4310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40256
—
106S00000X
Behavior Technician
RBT-18-61460
PA
Other
Enumeration date
08/07/2018
Last updated
01/22/2021
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