Active NPI
Caitlin Bush
- Behavior Technician
- Champaign, IL
National Provider Identifier
1790330280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-65846
- Practice address
- 517 W Town Center Blvd
Champaign, IL 61822-1248 - Phone
- (866) 727-8274
- NPI assigned
- Aug 2, 2019
- 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 Technician | 106S00000X | RBT-18-65846 | IN | Primary |
Addresses
Primary practice location
517 W Town Center Blvd
Champaign, IL 61822-1248
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Phone (866) 727-8274
Other practice location 1
9900 Gilmore Ridge Rd
Nashville, IN 47448-9731
Phone (812) 322-0313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-65846 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Community Innovations | 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
- Nashville, IN
- NPI 1902265267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1790330280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY STE 301",
"city": "BURBANK",
"state": "CA",
"postal_code": "915055025",
"telephone_number": "866-727-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W TOWN CENTER BLVD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221248",
"telephone_number": "866-727-8274"
}
],
"practiceLocations": [
{
"address_1": "9900 Gilmore Ridge Rd",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "IN",
"postal_code": "474489731",
"country_code": "US",
"telephone_number": "812-322-0313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-18-65846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.