Healthcare Provider Details

I. General information

NPI: 1164003802
Provider Name (Legal Business Name): VALERIE LYNN CASTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GLENWOOD LN
BIRMINGHAM AL
35242-5700
US

IV. Provider business mailing address

7304 WEATHERFORD CIR
TRUSSVILLE AL
35173-5195
US

V. Phone/Fax

Practice location:
  • Phone: 205-969-2880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: