Active NPI
Caitlyn Canadi, BCBA
- Behavior Analyst
- Carrollton, TX
National Provider Identifier
1730701798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-66793
- Practice address
- 4240 International Pkwy Ste 180
Carrollton, TX 75007-1974 - Phone
- (214) 296-4801
- NPI assigned
- May 13, 2020
- 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 | 1-23-66793 | TX | Primary |
Addresses
Primary practice location
4240 International Pkwy Ste 180
Carrollton, TX 75007-1974
Mailing address
6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945
Phone (618) 206-8816
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 |
|---|---|---|---|
| Acorn Health of Illinois, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
6 Eagle Ctr
Ste 1
O Fallon, IL 62269
Phone (618) 206-8816
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
- O Fallon, IL
- NPI 1144867854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1730701798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EAGLE CTR STE 1",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691945",
"telephone_number": "618-206-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 INTERNATIONAL PKWY STE 180",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071974",
"telephone_number": "214-296-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADI",
"first_name": "CAITLYN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-23-66793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.