Provider Demographics
NPI:1134460470
Name:CARON, CAITLYN (MS, ED)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HANSEN RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-4262
Mailing Address - Country:US
Mailing Address - Phone:845-430-0188
Mailing Address - Fax:
Practice Address - Street 1:16 LUCAS AVE STE 201
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3708
Practice Address - Country:US
Practice Address - Phone:845-514-2094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY707230131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist