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General NPI Number Information
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NPI Number | 1275835167
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Entity Type | Individual
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Provider Name | ANNE M CASTELLO BCBA, M.ED., BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/26/2010
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 9345 S. REYNOLDS RD.
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City | HEREFORD
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State | AZ
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Zip | 85615
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Country | US
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Telephone | 520-678-5336
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Fax | 520-366-5923
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Provider Business Mailing Address
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Address Line | PO BOX 1071
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City | HEREFORD
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State | AZ
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Zip | 85615-1071
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Country | US
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Telephone | 520-678-5336
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Fax | 520-366-5923
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-10-7694
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License Number State | AZ
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