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NPI Code Detail

MEDICARE: ANTONELLA CASTELLON

MEDICARE: ANTONELLA CASTELLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician24-323462GA

General Provider Information

NPI Number : 1063355659
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONELLA CASTELLON
Provider Business Mailing Address
First Line : 3450 JONES MILL RD APT 720
Second Line :
City : PEACHTREE CORNERS
State : GA
Zip : 30092-4365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 PERIMETER CTR N
Second Line :
City : ATLANTA
State : GA
Zip : 30346-3402
Country : US
Telephone Number : 770-264-1920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ ANTONELLA CASTELLON ” Practice Location

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