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General NPI Number Information
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NPI Number | 1740111525
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Entity Type | Individual
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Provider Name | ALICIA CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 2455 W CHEYENNE AVE STE 110
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-4326
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Country | US
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Telephone | 702-331-1917
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Fax | 702-331-5219
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Provider Business Mailing Address
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Address Line | 415 GRAY ROBIN AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89032-9072
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | NV
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