Provider Demographics
NPI:1194490771
Name:WINSTEAD, CAITLYND (RBT)
Entity type:Individual
Prefix:
First Name:CAITLYND
Middle Name:
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 THURWELL ST
Mailing Address - Street 2:
Mailing Address - City:HERCULANEUM
Mailing Address - State:MO
Mailing Address - Zip Code:63048-1131
Mailing Address - Country:US
Mailing Address - Phone:636-223-0070
Mailing Address - Fax:
Practice Address - Street 1:5158 US HIGHWAY 61 67
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:MO
Practice Address - Zip Code:63052-3426
Practice Address - Country:US
Practice Address - Phone:636-223-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-15
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician