Active NPI
Javislaine Ceballo Castillo
- Behavior Technician
- Sebring, FL
National Provider Identifier
1386385508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-203421
- Practice address
- 4914 Salmon Dr
Sebring, FL 33870-1115 - Phone
- (863) 434-6952
- NPI assigned
- Apr 3, 2022
- Last updated
- Apr 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-22-203421 | FL | Primary |
Addresses
Primary practice location
4914 Salmon Dr
Sebring, FL 33870-1115
Mailing address
8910 N Dale Mabry Hwy Ste 38
Tampa, FL 33614-1500
Phone (813) 399-1396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113411000 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-203421 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648944000000",
"number": "1386385508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 N DALE MABRY HWY STE 38",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141500",
"telephone_number": "813-399-1396",
"fax_number": "813-773-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 SALMON DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701115",
"telephone_number": "863-434-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBALLO CASTILLO",
"first_name": "JAVISLAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-03",
"last_updated": "2022-04-03",
"certification_date": "2022-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-203421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113411000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
- Jennifer Lynn Castelli, OTR/L, CHT
- Carlos Castilla
- Visleyca Esther Catedral Rodriguez, CRNA
- Roy Dennis Cavalcant, MD
- Sean Xavier Cavanaugh, M.D.
- Leslie Celestina, DDS PA
- Center for Jewish Addiction Rehabilitation LLC
- Center for Jewish Addiction Rehabilitation LLC
- Central FL Hearing Services PLLC
- Central Florida Imaging Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.