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General NPI Number Information
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NPI Number | 1942114467
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Entity Type | Individual
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Provider Name | JENIFER CASTELLANOS MA, BA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1209 E WALNUT ST STE C-210
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City | COLUMBIA
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State | MO
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Zip | 65201-4944
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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Provider Business Mailing Address
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Address Line | 100 SEMINOLE DR
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City | STEELE
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State | MO
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Zip | 63877-1112
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Country | US
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Telephone | 855-832-6727
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Fax | 772-675-9100
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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 | RBT-26-545941
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License Number State | MO
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