Provider Demographics
NPI:1144743444
Name:BANKS, CAITLYN (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:CAITY
Other - Middle Name:
Other - Last Name:BESTWINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:231 E INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1732
Mailing Address - Country:US
Mailing Address - Phone:630-300-3400
Mailing Address - Fax:
Practice Address - Street 1:231 E INDIAN TRL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1732
Practice Address - Country:US
Practice Address - Phone:630-300-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-17-26663103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst