MEDICARE: RACHEL NAOMI 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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1629925722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL NAOMI CASTILLO

Provider Business Mailing Address
First Line	:	1809 W ALEXANDER ST
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-2038
Country	:	US
Telephone Number	:	801-844-0103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 W ALEXANDER ST
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84119-2038
Country	:	US
Telephone Number	:	801-844-0103
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ RACHEL NAOMI CASTILLO ” Practice Location

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