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Kimberly Casillas

Behavior Technician in San Ramon, CA. Individual provider (NPI-1).

NPI number1114669348
StatusActive
Last updated in NPPESApr 8, 2022

Details

NPI
1114669348
Entity type
Individual (NPI-1)
Name
Kimberly Casillas
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2022
Certification date
Apr 8, 2022
Last updated
Apr 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

111 Deerwood Rd Ste 115
San Ramon, CA 94583-4445

Phone 949-325-4402

Mailing address

111 Deerwood Rd Ste 115
San Ramon, CA 94583-4445

Phone 949-325-4402

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