Individual
MS. CAITLIN L CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4444 ACACIA WAY, PENNGROVE, CA 94951-9731
(707) 776-7747
(888) 330-9483
Mailing address
4444 ACACIA WAY, PENNGROVE, CA 94951-9731
(707) 776-7747
(888) 330-9483
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-7979
CA
Other
Enumeration date
06/14/2011
Last updated
07/09/2014
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