Healthcare Provider Details

I. General information

NPI: 1831717297
Provider Name (Legal Business Name): CAITLIN MARIE PARISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 WINDING WAY
SACRAMENTO CA
95841-4413
US

IV. Provider business mailing address

4144 WINDING WAY
SACRAMENTO CA
95841-4413
US

V. Phone/Fax

Practice location:
  • Phone: 916-248-0768
  • Fax:
Mailing address:
  • Phone: 916-737-1481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133470
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: