Caitlin Gilley, M.S., BCBA

Individual provider Active NPI Behavior Analyst · Montevideo, MN

NPI 1184076549 · NPPES record last updated Sep 21, 2020

Key facts

NPI
1184076549
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
028-ABA (SD)
Practice address
2419 Washington Ave
Montevideo, MN 56265-2619
Phone
(320) 877-7074
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
028-ABASDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
SWWC Service Cooperatives Current Accepting new patients
SWWC Service Cooperatives Current
since Sep 27, 2020
Accepting new patients
Spectrum Matters LLC Behavior Analyst Past
since Feb 1, 2020
Accepting new patients

Locations

320 Saturn St N
#A
Cosmos, MN 56228
Phone (320) 877-7074

2419 Washington Ave
Montevideo, MN 56265
Phone (320) 321-1484

1314 N Hiawatha Ave
Ste 100
Pipestone, MN 56164
Phone 3208777074 ext. 2404

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 028-ABA SD Yes

Addresses

Primary practice location

2419 Washington Ave
Montevideo, MN 56265-2619

Mailing address

1195 Pine St
Dawson, MN 56232-2234
Phone (605) 370-1418

Other practice location 1

320 Saturn St N Ste A
Cosmos, MN 56228-9757
Phone (320) 877-7074 ext. 2404

Other practice location 2

1314 N Hiawatha Ave Ste 100
Pipestone, MN 56164-2282
Phone (320) 877-7074 ext. 2404

Other providers in Montevideo, MN

All providers in Montevideo, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.