Individual
ALYSSA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
965 BURTON RAY ST NE, LACEY, WA 98516-7603
(360) 605-0163
Mailing address
1400 FONES RD SE APT 10-201, OLYMPIA, WA 98501-7435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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