Provider Demographics
NPI:1578031159
Name:SCHILLINGER, CAITLYN (BCBA)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:SCHILLINGER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 TYVOLA RD STE 126
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-3539
Mailing Address - Country:US
Mailing Address - Phone:980-785-1113
Mailing Address - Fax:980-785-1114
Practice Address - Street 1:13523 PLAZA ROAD EXT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8921
Practice Address - Country:US
Practice Address - Phone:980-202-7428
Practice Address - Fax:980-202-7428
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty