Individual
ALEIDA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 CHABOT DR, LAS VEGAS, NV 89107-2009
(702) 684-2407
Mailing address
820 CHABOT DR, LAS VEGAS, NV 89107-2009
(702) 684-2407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603824044
DRIVER LICENSE
NV
Enumeration date
04/26/2017
Last updated
04/26/2017
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