Individual
JESSICA CASTANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3877 12TH ST, RIVERSIDE, CA 92501-3578
(951) 455-6488
Mailing address
25790 CASA ENCANTADOR RD, MORENO VALLEY, CA 92551-7057
(951) 902-1265
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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