Provider Demographics
NPI:1033868906
Name:CELESTE, REJOICE CAINTOY
Entity Type:Individual
Prefix:
First Name:REJOICE
Middle Name:CAINTOY
Last Name:CELESTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 LAS GALLINAS AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3426
Mailing Address - Country:US
Mailing Address - Phone:415-306-1991
Mailing Address - Fax:
Practice Address - Street 1:845 LAS GALLINAS AVE APT 19
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3426
Practice Address - Country:US
Practice Address - Phone:415-306-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MPNONEOtherNONE