Provider Demographics
NPI:1538687439
Name:MATEV, CAITLIN (BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MATEV
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 OLD FAYETTEVILLE RD APT F207
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-5508
Mailing Address - Country:US
Mailing Address - Phone:413-329-9989
Mailing Address - Fax:
Practice Address - Street 1:50101 GOVERNORS DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9515
Practice Address - Country:US
Practice Address - Phone:919-589-4523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1971103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty