Tito Christhofer Carril

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36280 Issued in FL

Practice address

148 Wilshire Blvd
Casselberry, FL 32707-5372

Phone

(321) 437-9795

NPI assigned

Jul 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1275985608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 TURRET DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436065",
            "telephone_number": "321-437-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075372",
            "telephone_number": "321-437-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3146 Turret Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347436065",
            "country_code": "US",
            "telephone_number": "321-437-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIL",
        "first_name": "TITO",
        "middle_name": "CHRISTHOFER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-37274",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-36280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018062600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Capucci
• Brittany Daniele Carden, MASTER SOCIAL WORK
• Caremax Medical Centers of Central Florida, LLC
• Carmen Care Service LLC
• Karilys Denisse Carrero
• Monteea Carwin
• Jessica Casillas
• Casselberry Nemt, Inc
• Elizabeth Cassidy
• Annmarie Castillo

• Behavior Analyst in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.