Individual
NICOLE RAQUEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 584-9860
(602) 715-1135
Mailing address
2865 S 161ST DR, GOODYEAR, AZ 85338-3598
(575) 640-0774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001100
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/09/2017
Last updated
06/15/2023
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