Anne M Castello, BCBA, M.ED., BCBA

Individual provider Active NPI Behavior Analyst · Hereford, AZ

NPI 1275835167 · NPPES record last updated Aug 13, 2015

Key facts

NPI
1275835167
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-10-7694 (AZ)
Practice address
9345 S. Reynolds Rd.
Hereford, AZ 85615
Phone
(520) 678-5336
Fax
(520) 366-5923
NPI assigned
Nov 26, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7694 AZ Yes

Addresses

Primary practice location

9345 S. Reynolds Rd.
Hereford, AZ 85615

Mailing address

PO Box 1071
Hereford, AZ 85615-1071
Phone (520) 678-5336

Other providers in Hereford, AZ

All providers in Hereford, AZ · Behavior Analyst in Arizona

Sources for this page

Verify at the official NPI Registry.