Individual
MRS. JEANNETTE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 OCOEE HILLS CIR NE, CLEVELAND, TN 37323-4538
(256) 504-1894
(423) 370-1346
Mailing address
495 OCOEE HILLS CIR NE, CLEVELAND, TN 37323-4538
(256) 504-1894
(423) 370-1346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14017
AL
Other
Enumeration date
07/26/2013
Last updated
03/20/2017
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