Provider Demographics
NPI:1528400751
Name:LOSTAN, CAITLIN (PSYD, BCBA, NCSP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:LOSTAN
Suffix:
Gender:F
Credentials:PSYD, BCBA, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HEATHER LN
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1349
Mailing Address - Country:US
Mailing Address - Phone:973-901-2099
Mailing Address - Fax:
Practice Address - Street 1:1 HEATHER LN
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1349
Practice Address - Country:US
Practice Address - Phone:973-901-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst