David Castro

Individual provider Active NPI Behavior Technician · Maywood, CA

NPI 1376289348 · NPPES record last updated May 11, 2022

Key facts

NPI
1376289348
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4924 E 59TH PL Apt B
Maywood, CA 90270-3541
Phone
(213) 509-5073
NPI assigned
May 11, 2022
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

4924 E 59TH PL Apt B
Maywood, CA 90270-3541

Mailing address

4924 E 59TH PL Apt B
Maywood, CA 90270-3541

Other providers in Maywood, CA

All providers in Maywood, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.