DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAYRA CASTILLO

MEDICARE: MAYRA CASTILLO
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 Technician

General Provider Information

NPI Number : 1316561574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA CASTILLO
Provider Business Mailing Address
First Line : 15490 CIVIC DR STE 103
Second Line :
City : VICTORVILLE
State : CA
Zip : 92392-2382
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15490 CIVIC DR STE 103
Second Line :
City : VICTORVILLE
State : CA
Zip : 92392-2382
Country : US
Telephone Number : 442-327-9172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2020
Last Update Date : 06/03/2020

Similar Medicare Providers

1881876654 — MISS SHANNON MAYHALL
Practice Location Address:
15490 CIVIC DR STE 101
VICTORVILLE, CA
92392-2382
Practice Phone: 760-552-9194
Practice Fax:
1386261006 — KENNYA SCOTT
Practice Location Address:
15490 CIVIC DR STE 103
VICTORVILLE, CA
92392-2382
Practice Phone: 442-327-9172
Practice Fax:
1093332710 — DUEWING HARDRICK
Practice Location Address:
15490 CIVIC DR STE 103
VICTORVILLE, CA
92392-2382
Practice Phone: 442-327-9172
Practice Fax:
1396362018 — BRANDON CRIDDLE
Practice Location Address:
15490 CIVIC DR STE 103
VICTORVILLE, CA
92392-2382
Practice Phone: 442-327-9172
Practice Fax:
1639796352 — LAJOI JAMES
Practice Location Address:
15490 CIVIC DR STE 103
VICTORVILLE, CA
92392-2382
Practice Phone: 442-327-9172
Practice Fax:
1710504436 — ALEJANDRA VILLA
Practice Location Address:
15490 CIVIC DR STE 103
VICTORVILLE, CA
92392-2382
Practice Phone: 442-327-9172
Practice Fax:

Directions to “ MAYRA CASTILLO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.