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Shannon Castillo

Behavior Technician in Shenandoah, TX. Individual provider (NPI-1).

NPI number1659010239
StatusActive
Last updated in NPPESJun 1, 2022

Details

NPI
1659010239
Entity type
Individual (NPI-1)
Name
Shannon Castillo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 1, 2022
Certification date
Jun 1, 2022
Last updated
Jun 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-216380TXYes

Practice location

19241 David Memorial Dr Ste 170a
Shenandoah, TX 77385-8786

Phone 281-290-4411

Mailing address

19241 David Memorial Dr Ste 170a
Shenandoah, TX 77385-8786

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