Individual
ISABELLE MAGDALENE CASTELLANO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Mailing address
5941 W 4385 S, WEST VALLEY, UT 84128-7768
(801) 694-7514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB847157
UT
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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