Individual provider Active NPI

Jazmin Melissa Castillo, M.S.

  • Behavior Analyst
  • Camarillo, CA
National Provider Identifier
1326518259
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68408 Issued in CA
Practice address
1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754
Phone
(805) 383-5566
Fax
(888) 659-0031
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-23-68408 CA Primary

Addresses

Primary practice location

1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754

Mailing address

1000 Paseo Camarillo Ste 235
Camarillo, CA 93010-0754
Phone (805) 383-5566

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Addison Behavioral Resources, Inc. Behavior Analyst CurrentSince Jun 9, 2024 Accepting new patients
Abrite LLC Past Accepting new patients
Learning and Behavioral Center. LLC Behavior Analyst PastSince Jul 1, 2023 Accepting new patients
Learning and Behavioral Center PastSince Jul 1, 2023 Accepting new patients

Locations

1000 Paseo Camarillo
Ste 235
Camarillo, CA 93010
Phone (805) 383-5566

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1326518259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 235",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100754",
            "telephone_number": "805-383-5566",
            "fax_number": "888-659-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JAZMIN",
        "middle_name": "MELISSA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-23-68408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.