Active NPI
Gabriel Ray Castillo
- Behavior Technician
- Albuquerque, NM
National Provider Identifier
1124635230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9019 Washington St NE Ste a
Albuquerque, NM 87113-2435 - Phone
- (505) 856-6880
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NM | Primary |
Addresses
Primary practice location
9019 Washington St NE Ste a
Albuquerque, NM 87113-2435
Mailing address
909 Pheasant Run Dr SW
Albuquerque, NM 87121-8194
Phone (505) 300-8357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1124635230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 PHEASANT RUN DR SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871218194",
"telephone_number": "505-300-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9019 WASHINGTON ST NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132435",
"telephone_number": "505-856-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "GABRIEL",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.