Healthcare Provider Details

I. General information

NPI: 1366331589
Provider Name (Legal Business Name): CAITLYN DANIELLE HUETTL BA, BHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2066 W APACHE TRL STE 101
APACHE JUNCTION AZ
85120-3733
US

IV. Provider business mailing address

1730 S JENTILLY LN STE 101
TEMPE AZ
85281-5715
US

V. Phone/Fax

Practice location:
  • Phone: 480-999-3323
  • Fax: 480-999-3324
Mailing address:
  • Phone: 480-999-3323
  • Fax: 480-999-3324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: