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NPI Code Detail

MEDICARE: ROSEANNA CASTRO BCBA

MEDICARE: ROSEANNA CASTRO BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396376828
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEANNA CASTRO BCBA
Provider Business Mailing Address
First Line : 1211 MAGNOLIA CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1397
Country : US
Telephone Number : 479-318-2300
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MAGNOLIA CT
Second Line :
City : MOORE
State : OK
Zip : 73160-1397
Country : US
Telephone Number : 479-318-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 04/01/2026

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Directions to “ ROSEANNA CASTRO BCBA” Practice Location

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