Provider Demographics
NPI:1023480563
Name:MCGINLEY, CAITLIN (BCABA)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MCGINLEY
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:PINCKNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28271 PASEO EL SIENA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23322 PERALTA DR
Practice Address - Street 2:UNIT 2
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1713
Practice Address - Country:US
Practice Address - Phone:949-690-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0-14-6175103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst