Provider Demographics
NPI:1043796030
Name:LABARBERA, CAITLIN DIANE (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:DIANE
Last Name:LABARBERA
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4201
Mailing Address - Country:US
Mailing Address - Phone:973-886-5237
Mailing Address - Fax:
Practice Address - Street 1:13 ALPINE DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4201
Practice Address - Country:US
Practice Address - Phone:973-886-5237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1149604103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst