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Gabriel Ray Castillo

Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).

NPI number1124635230
StatusActive
Last updated in NPPESSep 23, 2020

Details

NPI
1124635230
Entity type
Individual (NPI-1)
Name
Gabriel Ray Castillo
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 23, 2020
Certification date
Sep 23, 2020
Last updated
Sep 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–NMYes

Practice location

9019 Washington St Ne Ste A
Albuquerque, NM 87113-2435

Phone 505-856-6880

Mailing address

909 Pheasant Run Dr Sw
Albuquerque, NM 87121-8194

Phone 505-300-8357

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