Castleberry, Dianna Michelle
Castleberry, Dianna Michelle is an sole proprietor health care provider with primary practice located at 1166 Mason St , Barry IL 62312-1137. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Castleberry, Dianna Michelle can be contacted via phone (217) 335-2961.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1437759701 |
---|---|
LBN Legal business name | Castleberry, Dianna Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2020 |
Last updated | Nov 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437759701 | NPPES |
Illinois | MEDICAID | 85-364764 |
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