MEDICARE: KAILEY CASTRO BCABA

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	106E00000X	Assistant Behavior Analyst	0-21-12091	CA

General Provider Information

NPI Number	:	1972176956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAILEY CASTRO BCABA

Provider Business Mailing Address
First Line	:	11030 VIA BRESCIA APT 202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-1651
Country	:	US
Telephone Number	:	760-710-1315
Fax Number	:

Provider Business Practice Location Address
First Line	:	6494 WEATHERS PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2938
Country	:	US
Telephone Number	:	877-992-2224
Fax Number	:

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

Provider Enumeration Date	:	07/19/2021
Last Update Date	:	07/19/2021

Similar Medicare Providers

1649261017 — CRAIG A DITZLER DC
Practice Location Address:

3202 GOVERNOR DR , #200
SAN DIEGO, CA
92122-2938

Practice Phone: 858-452-2202
Practice Fax: 858-452-2379

1649489253 — DR. WILLIAM A BARTON D.D.S.
Practice Location Address:

3202 GOVERNOR DR , SUITE 207
SAN DIEGO, CA
92122-2938

Practice Phone: 858-450-1334
Practice Fax: 858-535-0825

1316275407 — MIRNA NGUYEN DMD
Practice Location Address:

3202 GOVERNOR DR , SUITE 207
SAN DIEGO, CA
92122-2938

Practice Phone: 858-450-1334
Practice Fax:

1962514265 — DR. RANDALL KARL FREBERG DDS
Practice Location Address:

1486 PALM ST
SAN LUIS OBISPO, CA
93401-2938

Practice Phone: 805-543-8675
Practice Fax: 805-543-8696

1801038039 — BETZABEL IRIS ARHELY TOVAR QUINONEZ R.D.A
Practice Location Address:

6541 SAN VINCENTE ST
PARAMOUNT, CA
90723-2938

Practice Phone: 562-529-3576
Practice Fax:

1326398314 — GRUPO MEDICO CDT DR. MANUEL QUEVEDO BAEZ
Practice Location Address:

SAN AGUSTIN # 359 , PUERTA DE TIERRA
SAN JUAN, PR
00901-2938

Practice Phone: 787-480-3876
Practice Fax: 787-977-8401

Directions to “ KAILEY CASTRO BCABA” 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.