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NPI Code Detail

MEDICARE: MRS. CAITLYN JO GIEBEL MBA, MA, BCBA

MEDICARE: MRS. CAITLYN JO GIEBEL MBA, MA, 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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst1-22-63039IN

General Provider Information

NPI Number : 1871168146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAITLYN JO GIEBEL MBA, MA, BCBA
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 102
Second Line :
City : BURBANK
State : CA
Zip : 91505-5031
Country : US
Telephone Number : 317-769-4335
Fax Number :
Provider Business Practice Location Address
First Line : 7105 GALEN DR W
Second Line :
City : AVON
State : IN
Zip : 46123-8450
Country : US
Telephone Number : 317-813-4690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 06/05/2025

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