Individual
BLANCA F CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 W STATE ST, EL CENTRO, CA 92243-2834
(760) 565-2702
Mailing address
1802 NORTH IMPERIAL AVE D 130, IMPERIAL, CA 92251-9545
(760) 707-4175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42442
—
Other
Enumeration date
08/04/2020
Last updated
07/18/2023
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