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NPI Code Detail

MEDICARE: DANIELLA CASTRO BCBA

MEDICARE: DANIELLA 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 Analyst1-19-35717

General Provider Information

NPI Number : 1841653227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLA CASTRO BCBA
Provider Business Mailing Address
First Line : DEPT LA 22763
Second Line :
City : PASADENA
State : CA
Zip : 91185-2763
Country : US
Telephone Number : 866-523-4268
Fax Number :
Provider Business Practice Location Address
First Line : 1519 JOHNSON FERRY RD BLDG 10
Second Line :
City : MARIETTA
State : GA
Zip : 30062-6409
Country : US
Telephone Number : 866-523-4268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 11/29/2022

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Directions to “ DANIELLA CASTRO BCBA” Practice Location

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