Individual
JIMENA LOREN CASTILLO-CASAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1852 E SOUTHERN AVE, TEMPE, AZ 85282
(520) 779-4818
Mailing address
4350 N 5TH AVE UNIT 113, PHOENIX, AZ 85013-2939
(928) 366-7411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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