Individual
ASHLEY CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYNDALE AVE S STE L3, FARIBAULT, MN 55021-5758
(801) 663-3862
Mailing address
201 LYNDALE AVE S STE L3, FARIBAULT, MN 55021-5758
(801) 663-3862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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