Manantial Casillas

NPI #1336916089 in Pinole, California

Provider Information

NPI Number: 1336916089
Entity Type: Individual
Name: Manantial Casillas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 1249 PINOLE VALLEY RD STE 201
City: Pinole
State: California
ZIP Code: 94564-1383
Phone: (510) 680-2923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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