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NPI Code Detail

MEDICARE: CAITLYN BANKS M.S., BCBA

MEDICARE: CAITLYN BANKS M.S., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-17-26663IL

General Provider Information

NPI Number : 1144743444
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN BANKS M.S., BCBA
Provider Business Mailing Address
First Line : 231 E INDIAN TRL
Second Line :
City : AURORA
State : IL
Zip : 60505-1732
Country : US
Telephone Number : 630-300-3400
Fax Number :
Provider Business Practice Location Address
First Line : 231 E INDIAN TRL
Second Line :
City : AURORA
State : IL
Zip : 60505-1732
Country : US
Telephone Number : 630-300-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 04/17/2023

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