Individual
TIFFANIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE STE 401, ALBUQUERQUE, NM 87102-2366
(505) 345-8471
Mailing address
PO BOX 72497, ALBUQUERQUE, NM 87195-2497
(505) 710-9879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2015
Last updated
01/30/2017
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