Individual
COURTNEY CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SWEETWATER DR APT F76, DOTHAN, AL 36305-3213
(334) 648-7965
Mailing address
200 SWEETWATER DR APT F76, DOTHAN, AL 36305-3213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199403
AL
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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