Individual
LETICIA CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4719 QUAIL LAKES DR STE G409, STOCKTON, CA 95207-8140
(209) 208-4804
Mailing address
444 E DOWNS ST, STOCKTON, CA 95204-2219
(209) 981-8964
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
10/20/2025
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