Provider Demographics
NPI:1124643481
Name:SLOAN, CAITLEN R (BCBA)
Entity type:Individual
Prefix:MS
First Name:CAITLEN
Middle Name:R
Last Name:SLOAN
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 1:1814 E LONE OAK DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5520
Mailing Address - Country:US
Mailing Address - Phone:816-209-8739
Mailing Address - Fax:
Practice Address - Street 1:12222 S 1000 E STE 3
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-3203
Practice Address - Country:US
Practice Address - Phone:801-987-3592
Practice Address - Fax:855-546-4955
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X
MO19-83810106S00000X
UT14238005-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician