Samantha Castellanos
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1023698917
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1023698917
- Entity type
- Individual (NPI-1)
- Name
- Samantha Castellanos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2021
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1650 Spruce StRiverside, CA 92507-7402
Phone 760-815-7772
Mailing address
6846 Rivertrails DrEastvale, CA 91752-3460
Phone 951-454-7200
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