MEDICARE: ASHLEY EMILY CASILLAS

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
1	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1407713324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY EMILY CASILLAS

Provider Business Mailing Address
First Line	:	13440 VENTURA BLVD STE 200
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-6158
Country	:	US
Telephone Number	:	818-442-0921
Fax Number	:	800-832-2321

Provider Business Practice Location Address
First Line	:	41990 COOK ST STE G602
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6103
Country	:	US
Telephone Number	:	760-610-6115
Fax Number	:	800-832-2321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	05/26/2026

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Directions to “ ASHLEY EMILY CASILLAS ” Practice Location

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