Caitlyn Anna Federico, M.S, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66372 Issued in RI

Practice address

3107 Meeting Street Rd
North Charleston, SC 29405-7980

Phone

(843) 654-7464

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Beautiful Gate Center

  • Clinic/Center
  • North Charleston, SC
  • NPI 1912358144

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1508543364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 PLANTERS ROW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858968",
            "telephone_number": "401-545-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 MEETING STREET RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057980",
            "telephone_number": "843-654-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "CAITLYN",
        "middle_name": "ANNA",
        "credential": "M.S, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "1-23-66372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Seegers Fasanaro, RN
• Ashley Faucette, LCSW-C
• Abbey Fauerbach-Deaton, MS CCCSLP
• Krista Fazio
• Bailey Feathers
• Kevan Fegely, FNP-BC
• Wayne Fenderson
• Ferguson Counseling Services, LLC
• Rebeca Salzer Ferguson, DNP-FNP
• Kelston J'Kay Ferrell, PHARMACY TECHNICIAN

• Behavior Analyst in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.