Most Relevant Information
Provider Data
| NPI Number: | 1003657917 |
| Provider Name: | SAMANTHA FIDELA CASTILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2024 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
1650 SPRUCE ST STE 250
RIVERSIDE
CA
925077429
Practice Location Phone/Fax
| Phone: | 5599679617 |
| Fax: |
Provider Mailing Location
1650 SPRUCE ST STE 250
RIVERSIDE
CA
925077429
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |