Individual
ALEXA MARYE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(800) 434-8923
Mailing address
11650 IBERIA PL STE 130, SAN DIEGO, CA 92128-2431
(800) 434-8923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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