Individual provider Active NPI

Angelo John Castacio

  • Behavior Technician
  • Houston, TX
National Provider Identifier
1043968464
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1051 Pineloch Dr Ste 400
Houston, TX 77062-2739
Phone
(281) 461-6888
Fax
(866) 237-5824
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1051 Pineloch Dr Ste 400
Houston, TX 77062-2739

Mailing address

1001 Pineloch Dr Ste 600
Houston, TX 77062-2736
Phone (281) 461-6888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@behaviortlc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior TLC, Inc. PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1043968464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINELOCH DR STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622736",
            "telephone_number": "281-461-6888",
            "fax_number": "866-237-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622739",
            "telephone_number": "281-461-6888",
            "fax_number": "866-237-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTACIO",
        "first_name": "ANGELO",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@behaviortlc.com",
            "affiliation": "N",
            "endpointDescription": "Main Office Mailbox",
            "address_1": "1051 Pineloch Dr Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770622739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.