MEDICARE: CATLIN CABALLERO

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
1	106S00000X	Behavior Technician		AZ

General Provider Information

NPI Number	:	1326998907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATLIN CABALLERO

Provider Business Mailing Address
First Line	:	855 W SOUTHERN AVE APT 3104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-5066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 N 31ST AVE STE C218
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9620
Country	:	US
Telephone Number	:	602-314-6312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ CATLIN CABALLERO ” Practice Location

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