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NPI Code Detail

MEDICARE: CAITLIN SHANK

MEDICARE: CAITLIN SHANK
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1568300945
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN SHANK
Provider Business Mailing Address
First Line : 9281 N CITRUS SPRINGS BLVD
Second Line :
City : CITRUS SPRINGS
State : FL
Zip : 34434-3822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8001 BEATY GROVE DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1602
Country : US
Telephone Number : 813-926-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ CAITLIN SHANK ” Practice Location

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