Russell, Caitlin Owen

Russell, Caitlin Owen is an individual health care provider with primary practice located at 124 Capulet Dr , St Augustine FL 32092-4537. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Russell, Caitlin Owen can be contacted via phone (904) 429-3859.

Contact Information

Primary practice address
124 Capulet Dr St Augustine FL 32092-4537
Phone: (904) 429-3859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12152029 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-38028 Florida

Profile Details

NPI number 1750899589
LBN Legal business name Russell, Caitlin Owen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Aug 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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