Provider Demographics
NPI:1710668017
Name:BAUSKE, CAITLYN (MS, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:BAUSKE
Suffix:
Gender:F
Credentials:MS, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PLANTATION ST APT 311
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-4325
Mailing Address - Country:US
Mailing Address - Phone:804-694-6795
Mailing Address - Fax:
Practice Address - Street 1:43 BROAD ST # A402
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2558
Practice Address - Country:US
Practice Address - Phone:774-823-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst