Provider Demographics
NPI:1326300393
Name:HUARTE, CAROLINE JANE (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:JANE
Last Name:HUARTE
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:JANE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, BCBA-D
Mailing Address - Street 1:3443 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3903
Mailing Address - Country:US
Mailing Address - Phone:619-201-2010
Mailing Address - Fax:619-243-7387
Practice Address - Street 1:3443 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3903
Practice Address - Country:US
Practice Address - Phone:619-201-2010
Practice Address - Fax:619-243-7387
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25564103T00000X
CA1-14-15842103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst