Active NPI
Caitlyn Trimble
- Behavior Analyst
- Salem, OR
National Provider Identifier
1184369704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3400 State St Ste G750
Salem, OR 97301-7012 - Phone
- (971) 273-7502
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3400 State St Ste G750
Salem, OR 97301-7012
Mailing address
854 Warren St S
Monmouth, OR 97361-2210
Other practice location 1
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
Phone (469) 694-1754
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Autism & Related Disorders, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Peachtree City, GA
- NPI 1689320814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1184369704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 WARREN ST S",
"city": "MONMOUTH",
"state": "OR",
"postal_code": "973612210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 STATE ST STE G750",
"city": "SALEM",
"state": "OR",
"postal_code": "973017012",
"telephone_number": "971-273-7502"
}
],
"practiceLocations": [
{
"address_1": "5850 Granite Pkwy Ste 600",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750246753",
"country_code": "US",
"telephone_number": "469-694-1754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIMBLE",
"first_name": "CAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.