Individual
TONY CASTAGNO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9420 MOUNTAINAIR AVE, LAS VEGAS, NV 89134-6217
(702) 401-9190
Mailing address
9420 MOUNTAINAIR AVE, LAS VEGAS, NV 89134-6217
(702) 401-9190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881842953
—
NV
Enumeration date
04/26/2012
Last updated
04/26/2012
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