Individual
BIANCA CASTEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 W JERSEY ST APT B1, ELIZABETH, NJ 07202-1886
(862) 285-1876
Mailing address
318 W JERSEY ST APT B1, ELIZABETH, NJ 07202-1886
(862) 285-1876
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
NJ
103T00000X
Psychologist
—
NJ
106S00000X
Behavior Technician
Primary
—
NJ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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