Most Relevant Information
Provider Data
| NPI Number: | 1003562877 |
| Provider Name: | JUAN DIEGO CASTANEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | WDL226R7C33B |
Most Important Dates
| Enumeration Date: | 03/01/2022 |
| Last Updated: | 03/01/2022 |
Provider Practice Location
11909 N DIVISION ST STE 102
SPOKANE
WA
992181903
Practice Location Phone/Fax
| Phone: | 5093192235 |
| Fax: |
Provider Mailing Location
210 SIMPSON PKWY APT 723
CHENEY
WA
990045014
Provider Mailing Phone/Fax
| Phone: | 5099523082 |
| Fax: |