Brenda Ayala-Castillo, BA, RBT

Individual provider Active NPI Behavior Technician · Imperial, CA

NPI 1992451934 · NPPES record last updated Feb 28, 2022

Key facts

NPI
1992451934
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-134785 (CA)
Practice address
502 W Aten Rd Ste 105
Imperial, CA 92251-9423
Phone
(760) 592-0088
Fax
(760) 370-9236
NPI assigned
Feb 28, 2022
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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
RBT-20-134785CAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-134785 CA Yes

Addresses

Primary practice location

502 W Aten Rd Ste 105
Imperial, CA 92251-9423

Mailing address

2402 Mia Ave
Imperial, CA 92251-8872
Phone (619) 816-6260

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address brendaayala@fredfinch.org Direct Fred Finch Youth Center Cares

Other providers in Imperial, CA

All providers in Imperial, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.