Desiree Rene Castaneda

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

F4361160 Issued in CA

Practice address

2437 Grand Ave Ste BCD
Ventura, CA 93003-6620

Phone

(805) 941-3656

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1104397165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 GRAND AVE STE BCD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036620",
            "telephone_number": "805-941-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 GRAND AVE STE BCD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036620",
            "telephone_number": "805-941-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "DESIREE",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "F4361160",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F431160",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F4361160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Casillas, MFT INTERN
• Sofia Casillas
• Margaret Caspary, NP
• Kelly Lee Cassidy
• Catarina Diana Castaneda, M.D.
• Natalie Christine Castaneda, RN
• Alexa Marie Castellano, MD
• Briana Castellanos
• Diana Lynn Castellanos, ADV CST, LMT
• Lillian Castellon

• Behavior Analyst in Ventura, CA
• Providers in Ventura, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.