Provider Demographics
NPI:1679950869
Name:NAYLOR, CAITLIN (BCBA, LBS, MS ED)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:BCBA, LBS, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3603
Mailing Address - Country:US
Mailing Address - Phone:484-326-1075
Mailing Address - Fax:
Practice Address - Street 1:125 BARBARA DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3603
Practice Address - Country:US
Practice Address - Phone:484-326-1075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-15-18066103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst