Provider Demographics
NPI:1366331589
Name:HUETTL, CAITLYN DANIELLE (BA, BHT)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:DANIELLE
Last Name:HUETTL
Suffix:
Gender:F
Credentials:BA, BHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1730 S JENTILLY LN STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-5715
Mailing Address - Country:US
Mailing Address - Phone:480-999-3323
Mailing Address - Fax:480-999-3324
Practice Address - Street 1:2066 W APACHE TRL STE 101
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-3733
Practice Address - Country:US
Practice Address - Phone:480-999-3323
Practice Address - Fax:480-999-3324
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician