Individual
MRS. ALLYSON CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14627 W VENTURA ST, SURPRISE, AZ 85379-5712
(928) 814-9162
Mailing address
14627 W VENTURA ST, SURPRISE, AZ 85379-5712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-398517
AZ
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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