Active NPI
Isabelle Magdalene Castellano I
- Behavior Technician
- Orem, UT
National Provider Identifier
1124732508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB847157
- Practice address
- 1443 W 800 N Ste 103
Orem, UT 84057-2878 - Phone
- (801) 655-4950
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 | BACB847157 | UT | Primary |
Addresses
Primary practice location
1443 W 800 N Ste 103
Orem, UT 84057-2878
Mailing address
5941 W 4385 S
West Valley, UT 84128-7768
Phone (801) 694-7514
Other practice location 1
1722 E 280 N o
saint george, UT 84790
Phone (435) 251-9979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB847157 | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1124732508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 W 4385 S",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841287768",
"telephone_number": "801-694-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 W 800 N STE 103",
"city": "OREM",
"state": "UT",
"postal_code": "840572878",
"telephone_number": "801-655-4950"
}
],
"practiceLocations": [
{
"address_1": "1722 E 280 N o",
"address_purpose": "LOCATION",
"city": "saint george",
"state": "UT",
"postal_code": "84790",
"country_code": "US",
"telephone_number": "435-251-9979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTELLANO",
"first_name": "ISABELLE",
"middle_name": "MAGDALENE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "BACB847157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.