Individual
MARLENE MISHELL CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
4138 BARNES AVE, BRONX, NY 10466-4345
(646) 731-0085
Mailing address
4138 BARNES AVE, BRONX, NY 10466-4345
(646) 731-0085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002407-01
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/15/2016
Last updated
09/07/2022
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