Individual
AIZA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S BROADWAY STE 250, WALNUT CREEK, CA 94596-5234
(925) 968-8648
Mailing address
710 S BROADWAY STE 250, WALNUT CREEK, CA 94596-5234
(925) 968-8648
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1104368844
CA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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