Active NPI
Fanny Joccelyn Castano
- Behavior Analyst
- Orange Park, FL
National Provider Identifier
1164950770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33198
- Practice address
- 1563 Kingsley Ave Ste 103
Orange Park, FL 32073-4503 - Phone
- (866) 610-0580
- Fax
- (407) 588-6294
- NPI assigned
- May 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-33198 | FL | Primary |
Addresses
Primary practice location
1563 Kingsley Ave Ste 103
Orange Park, FL 32073-4503
Mailing address
175 Middle St Unit 1201
Lake Mary, FL 32746-3625
Phone (866) 610-0580
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Autism Center | Behavior Analyst | Past | 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.
-
- Behavior Analyst
- Orange Park, FL
- NPI 1942743018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1164950770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MIDDLE ST UNIT 1201",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463625",
"telephone_number": "866-610-0580",
"fax_number": "866-610-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 KINGSLEY AVE STE 103",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734503",
"telephone_number": "866-610-0580",
"fax_number": "407-588-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANO",
"first_name": "FANNY",
"middle_name": "JOCCELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-18-33198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.