Individual
NICOLE MARIE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
465 ELROD AVE STE 101, COOS BAY, OR 97420-1532
(541) 751-7948
Mailing address
465 ELROD AVE, COOS BAY, OR 97420-1532
(541) 751-7948
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10241057
OR
106S00000X
Behavior Technician
RBT-20-121625
CA
Other
Enumeration date
05/08/2023
Last updated
10/31/2025
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