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Individual

ANGELINA JOLIE CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
21727 IH 10 W STE 108, SAN ANTONIO, TX 78257-2108
(210) 455-1091
Mailing address
15022 VANCE JACKSON RD APT 1302, SAN ANTONIO, TX 78249-4672
(915) 831-9362

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206357
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-22-206357
RBT
TX
Enumeration date
03/07/2022
Last updated
03/07/2022
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