Jazmine Martha Nicole Dawn Castillo

Individual provider Active NPI Behavior Technician · Shelbyville, IN

NPI 1396432084 · NPPES record last updated Apr 21, 2023

Key facts

NPI
1396432084
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
583 N 350 W
Shelbyville, IN 46176-9703
Phone
(317) 364-8259
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

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 106S00000X Yes

Addresses

Primary practice location

583 N 350 W
Shelbyville, IN 46176-9703

Mailing address

583 N 350 W
Shelbyville, IN 46176-9703
Phone (317) 364-8259

Other providers in Shelbyville, IN

All providers in Shelbyville, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.