Individual
CECILIA CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 W CHARLES ST, MUNCIE, IN 47305-2383
(765) 729-3107
Mailing address
210 W ROOSEVELT ST, MUNCIE, IN 47303-1864
(937) 423-5392
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-205644
IN
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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