Provider Demographics
NPI:1346037058
Name:CAMLIN, CAITLIN DRU
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:DRU
Last Name:CAMLIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 STONERIDGE DR STE 430
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8276
Mailing Address - Country:US
Mailing Address - Phone:803-335-0062
Mailing Address - Fax:
Practice Address - Street 1:140 STONERIDGE DR STE 430
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8276
Practice Address - Country:US
Practice Address - Phone:803-335-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst