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NPI Code Detail

MEDICARE: GRACIELA J CASTRO

MEDICARE: GRACIELA J CASTRO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1992641039
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACIELA J CASTRO
Provider Business Mailing Address
First Line : 77711 FLORA RD
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 909-726-4030
Fax Number :
Provider Business Practice Location Address
First Line : 77711 FLORA RD
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 909-726-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ GRACIELA J CASTRO ” Practice Location

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