Healthcare Provider Details

I. General information

NPI: 1881191120
Provider Name (Legal Business Name): DAVETTE WILLIAMS CASTILLE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAVETTE COLLEEN WILLIAMS BCBA

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3865 S OASIS PASEO UNIT 82
ONTARIO CA
91761-2760
US

IV. Provider business mailing address

3865 S OASIS PASEO UNIT 82
ONTARIO CA
91761-2760
US

V. Phone/Fax

Practice location:
  • Phone: 909-736-8344
  • Fax: 909-804-6414
Mailing address:
  • Phone: 909-736-8344
  • Fax: 909-804-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-56437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: