MEDICARE: SUZANNE ELIZABETH CAIATI

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	222Q00000X	Developmental Therapist
2	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710216833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE ELIZABETH CAIATI

Provider Business Mailing Address
First Line	:	1321 MURFREESBORO PIKE STE 702
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2679
Country	:	US
Telephone Number	:	844-359-7629
Fax Number	:	615-577-5654

Provider Business Practice Location Address
First Line	:	3217 S MACDILL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-1719
Country	:	US
Telephone Number	:	813-284-7941
Fax Number	:	615-577-5654

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

Provider Enumeration Date	:	12/19/2009
Last Update Date	:	08/21/2019

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