Healthcare Provider Details

I. General information

NPI: 1316868797
Provider Name (Legal Business Name): CAITLYNNE ELAINE HARGROVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10345 PROFESSIONAL CIR STE 125
RENO NV
89521-3100
US

IV. Provider business mailing address

1973 RIO TINTO DR
SPARKS NV
89434-3499
US

V. Phone/Fax

Practice location:
  • Phone: 775-332-8332
  • Fax: 855-847-6795
Mailing address:
  • Phone: 775-332-8332
  • Fax: 855-847-6795

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: