Individual
JUAN A CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
358 HACKENSACK STREET, D, WOOD-RIDGE, NJ 07075
(323) 472-3989
Mailing address
358 HACKENSACK STREET, D, WOOD-RIDGE, NJ 07075
(323) 472-3989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6274
CA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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