Healthcare Provider Details

I. General information

NPI: 1295655967
Provider Name (Legal Business Name): CAYDEN TRAWICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4929 DARCY WOODS LN
FUQUAY VARINA NC
27526-7622
US

IV. Provider business mailing address

4929 DARCY WOODS LN
FUQUAY VARINA NC
27526-7622
US

V. Phone/Fax

Practice location:
  • Phone: 919-810-1459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2827578
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: