Caitlin Clements, B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

CG60542635 Issued in WA

Practice address

6100 219TH St SW
Mountlake Terrace, WA 98043-2222

Phone

(877) 264-6747

Fax

(877) 539-7730

NPI assigned

Jun 24, 2015

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Bachelor of Arts

State licenses

Practice roles

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.

• Kyo Autism Therapy, LLC

  dba Gateway Learning Group, LLC

  • Community/Behavioral Health Agency
  • Daly City, CA
  • NPI 1720212749

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1689056772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RIVER PARK DR STE 285",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154522",
            "telephone_number": "877-264-6747",
            "fax_number": "877-539-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "877-264-6747",
            "fax_number": "877-539-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CAITLIN",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "CG60542635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Jean Clark, LMP
• James Daniel Clark, DNP, APRN, FNP-BC
• Julie Anne Clark, CDP
• Tiffany Ann Classen, MA, LMFT
• John E Clavadetscher, O.D.
• Cloud 9 Anesthesia, LLC
• Brandi D Cloutier, LICSWA
• Sterry Codrington
• Community Health Center of Snohomish County (Mountlake Terrace High School)
• Community Health Center of Snohomish County

• Behavior Analyst in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.