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NPI Code Detail

MEDICARE: AMARIS NICOLE CASTRO BCBA

MEDICARE: AMARIS NICOLE CASTRO BCBA
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
1106S00000XBehavior Technician
2103K00000XBehavior Analyst3318TX

General Provider Information

NPI Number : 1821599408
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMARIS NICOLE CASTRO BCBA
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 3006 BEE CAVES RD STE B200
Second Line :
City : AUSTIN
State : TX
Zip : 78746-6751
Country : US
Telephone Number : 512-328-5599
Fax Number : 512-328-5585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2018
Last Update Date : 05/14/2020

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Directions to “ AMARIS NICOLE CASTRO BCBA” Practice Location

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