Provider Demographics
NPI:1174293815
Name:CATERPILLAR BEHAVIOR THERAPY INC
Entity Type:Organization
Organization Name:CATERPILLAR BEHAVIOR THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ REYES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:727-333-1087
Mailing Address - Street 1:3687 DAVIE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:786-457-0952
Mailing Address - Fax:
Practice Address - Street 1:3687 DAVIE BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312
Practice Address - Country:US
Practice Address - Phone:786-457-0952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty