Individual
JUAN CARLOS CASTANEDA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(800) 394-7195
Mailing address
3636 E 56TH ST, MAYWOOD, CA 90270-2602
(323) 434-7861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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