Most Relevant Information
Provider Data
| NPI Number: | 1003489592 |
| Provider Name: | BRIANNA MAE CASTILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2021 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
3200 E GUASTI RD STE 100
ONTARIO
CA
917618661
Practice Location Phone/Fax
| Phone: | 9092402565 |
| Fax: |
Provider Mailing Location
15884 ROCK POINT LN
FONTANA
CA
923364577
Provider Mailing Phone/Fax
| Phone: | 9094412837 |
| Fax: |