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NPI Code Detail

MEDICARE: CAITLYN MAXAM

MEDICARE: CAITLYN MAXAM
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 TechnicianRBT-26-512179TX

General Provider Information

NPI Number : 1598602807
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN MAXAM
Provider Business Mailing Address
First Line : 8646 GUION RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-3011
Country : US
Telephone Number : 317-334-7331
Fax Number : 317-334-7336
Provider Business Practice Location Address
First Line : 2220 H G MOSLEY PARKWAY
Second Line :
City : KAUFMAN
State : TX
Zip : 75142-7362
Country : US
Telephone Number : 469-804-6153
Fax Number : 317-334-7336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ CAITLYN MAXAM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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