MEDICARE: GISSELLE MENDEZ-CASTILLO

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

General Provider Information

NPI Number	:	1770451700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISSELLE MENDEZ-CASTILLO

Provider Business Mailing Address
First Line	:	1050 FULTON AVE STE 235
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-4299
Country	:	US
Telephone Number	:	559-224-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	6051 N FRESNO ST STE 102
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-5280
Country	:	US
Telephone Number	:	550-650-7224
Fax Number	:

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

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	04/10/2026

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Directions to “ GISSELLE MENDEZ-CASTILLO ” Practice Location

Language	Start Address	Practice Location

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