Caitlin Louise Bodlovick, BCBA
Individual provider Active NPI Behavior Analyst · Scarborough, ME
NPI 1124585617 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1124585617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 11833618
- Practice address
- 71 US Route 1 Ste H
Scarborough, ME 04074-7174 - Phone
- (207) 774-3570
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11833618 | Yes |
Addresses
Primary practice location
71 US Route 1 Ste H
Scarborough, ME 04074-7174
Mailing address
71 US Route 1 Ste H
Scarborough, ME 04074-7174
Phone (207) 774-3570
Other providers in Scarborough, ME
- Fiona Blanchard
- Joanne R Blanchard
- Henry Blanchette
- Bluewater Therapy Services LLC
- Bluewater Therapy Services LLC
- Emma Bolduc
- Richard J Bouchard Jr.
- Nancy Lee Bouffard
- Mikala Dawn Bousquet
- Hans G Bowder
All providers in Scarborough, ME · Behavior Analyst in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.