Individual
ALICIA LUPE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10174 OLD GROVE RD STE 100, SAN DIEGO, CA 92131-1652
(858) 444-8823
Mailing address
1229 MARYLAND DR, VISTA, CA 92083-3381
(760) 214-0779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69640
CA
106S00000X
Behavior Technician
RBT-17-46818
CA
Other
Enumeration date
01/17/2018
Last updated
11/29/2023
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