Provider Demographics
NPI:1043808553
Name:GRIFFITH, CATERINA CORSINI (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CATERINA
Middle Name:CORSINI
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:MISS
Other - First Name:CATERINA
Other - Middle Name:ELIZABETH
Other - Last Name:CORSINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1962 IBIS POINT LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1391
Mailing Address - Country:US
Mailing Address - Phone:904-525-6080
Mailing Address - Fax:
Practice Address - Street 1:1962 IBIS POINT LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1391
Practice Address - Country:US
Practice Address - Phone:904-525-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-10
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-46938103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst