MEDICARE: MARIA PAULA KASSANDRA CASTRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1255273520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PAULA KASSANDRA CASTRO

Provider Business Mailing Address
First Line	:	2002 IOWA AVE STE 106
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-2423
Country	:	US
Telephone Number	:	949-309-1378
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 IOWA AVE STE 106
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-2423
Country	:	US
Telephone Number	:	949-309-1378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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