Provider Demographics
NPI:1053094250
Name:HAPWORTH, CAYLEE JENNARA
Entity type:Individual
Prefix:
First Name:CAYLEE
Middle Name:JENNARA
Last Name:HAPWORTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SETON CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-5287
Mailing Address - Country:US
Mailing Address - Phone:207-859-8778
Mailing Address - Fax:
Practice Address - Street 1:2 SETON CENTER DR
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-5287
Practice Address - Country:US
Practice Address - Phone:207-859-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst