Taily Herrera Castillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-396786 Issued in FL

Practice address

550 SE Port St Lucie Blvd Ste 3
Port St Lucie, FL 34984-5108

Phone

(772) 202-0173

Fax

(772) 209-7631

NPI assigned

Jan 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1114737152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 SE 95TH TRL",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349741483",
            "telephone_number": "863-484-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE PORT ST LUCIE BLVD STE 3",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845108",
            "telephone_number": "772-202-0173",
            "fax_number": "772-209-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA CASTILLO",
        "first_name": "TAILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-396786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adan Fernando Hernandez, MD
• Lizbeth Hernandez, BA
• Sabrina Hernandez
• Vivian Hernandez
• Hernando-Pasco Hospice, Inc.
• Mildred Herrera Hernandez
• Alina Herrera
• Cesar Miguel Herrera, M.D.
• Lorel Herrera
• Alicia Maria Herrero Marzo

• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.