Healthcare Provider Details

I. General information

NPI: 1528996139
Provider Name (Legal Business Name): HAILEE KAYLYNN CASCARELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 S MYRTLE AVE STE 100
MONROVIA CA
91016-3406
US

IV. Provider business mailing address

1355 ALLEGRA DR
PERRIS CA
92571-8313
US

V. Phone/Fax

Practice location:
  • Phone: 800-207-0272
  • Fax:
Mailing address:
  • Phone: 951-961-1218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: