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General NPI Number Information
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NPI Number | 1598015653
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Entity Type | Individual
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Provider Name | LAKISHA MONIQUE CASTILLO BCBA
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2338 W ROYAL PALM RD STE J
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City | PHOENIX
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State | AZ
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Zip | 85021-9339
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Country | US
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Telephone | 855-772-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 POST OAK PARK DR APT 5202
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City | HOUSTON
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State | TX
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Zip | 77027-3344
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Country | US
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Telephone | 321-948-8044
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-65113
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License Number State | TX
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