Healthcare Provider Details

I. General information

NPI: 1548042708
Provider Name (Legal Business Name): CAITLIN ELIZABETH SCHEUER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 5600 S STE 110
MURRAY UT
84107-8153
US

IV. Provider business mailing address

111 E 5600 S STE 110
MURRAY UT
84107-8153
US

V. Phone/Fax

Practice location:
  • Phone: 866-375-2437
  • Fax: 866-375-2437
Mailing address:
  • Phone: 866-375-2437
  • Fax: 866-375-2437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-22-214435
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: