Marco Roberto Castanos
Behavior Technician in Van Nuys, CA. Individual provider (NPI-1).
NPI number1366100745
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1366100745
- Entity type
- Individual (NPI-1)
- Name
- Marco Roberto Castanos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2021
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7226 Sepulveda BlvdVan Nuys, CA 91405-2003
Phone 818-235-1414
Mailing address
7226 Sepulveda BlvdVan Nuys, CA 91405-2003
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