Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003373622 |
---|---|
Provider Name | Debbie Castillo |
First Address | Visalia, CA 93291-9280 |
Second Address | Visalia, CA 93291-9280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2019 |
Last Update Date | 01/03/2019 |