Miguel Castillo
Behavior Technician in Elk Grove, CA. Individual provider (NPI-1).
NPI number1164040440
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040440
- Entity type
- Individual (NPI-1)
- Name
- Miguel Castillo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9355 E Stockton Blvd Ste 100Elk Grove, CA 95624-9476
Phone 916-683-1109
Mailing address
Po Box 5157Modesto, CA 95352-5157
Phone 209-572-2589
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