Provider Demographics
NPI:1942777016
Name:CARULLI, CATHERINE (BCBA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CARULLI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:COPSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:21600 OXNARD ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7807
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:
Practice Address - Street 1:591 WATT AVE STE 120
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5027
Practice Address - Country:US
Practice Address - Phone:916-448-2050
Practice Address - Fax:916-448-6050
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2022-01-05
Deactivation Date:2020-07-28
Deactivation Code:
Reactivation Date:2021-04-14
Provider Licenses
StateLicense IDTaxonomies
CA1-19-36750103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty