Caitlyn Elise Wiehe
Individual provider Active NPI Behavior Technician · Cottleville, MO
NPI 1124650403 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1124650403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 107 Winterbrooke CT
Cottleville, MO 63304-7697 - Phone
- (847) 532-0111
- NPI assigned
- Feb 5, 2020
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
107 Winterbrooke CT
Cottleville, MO 63304-7697
Mailing address
107 Winterbrooke CT
Cottleville, MO 63304-7697
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All providers in Cottleville, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. 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.