Individual
MIGUEL ANGEL CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5223 GERTRUDE ST, OMAHA, NE 68157-2183
(626) 209-3602
Mailing address
5223 GERTRUDE ST, OMAHA, NE 68157-2183
(626) 209-3602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-222058
NE
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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