Caitlyn Marie Lawhorn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17235 N 75TH Ave Ste G120
Glendale, AZ 85308-0895

Phone

(480) 812-4789

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1013788751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE G120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080895",
            "telephone_number": "480-812-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHORN",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Lautt
• Lannery Sioeli Lauvao, MD
• Patricia Lavallee, C.A.G.S
• Lavender Foundation of Love
• J. Mark Lavoy, DDS
• Tanisha Lawrence
• Aaron Dennis Laws, D.M.D.
• Andrew Lawson, LMFT; LIAC
• Michele Lawson
• Nicholas Lawson, M.S., BCBA, LBA

• All providers in Glendale, AZ
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.