Individual provider Active NPI

Caitryn Maura Gibeau

  • Behavior Technician
  • Nashua, NH
National Provider Identifier
1164095469
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
NHL13727958 Issued in NH
Practice address
155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640
Phone
(844) 969-4222
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NHL13727958 NH Primary

Addresses

Primary practice location

155 Main Dunstable Rd Ste 200
Nashua, NH 03060-3640

Mailing address

35 Bush Hill Rd
Hudson, NH 03051-4402
Phone (603) 315-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NHL13727958NHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1164095469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BUSH HILL RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514402",
            "telephone_number": "603-315-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN DUNSTABLE RD STE 200",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603640",
            "telephone_number": "844-969-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBEAU",
        "first_name": "CAITRYN",
        "middle_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NH",
            "license": "NHL13727958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.