Individual provider Active NPI

Fara Castillo Garcia

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1558809830
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT1864200 Issued in FL
Practice address
7351 SW 147TH CT
Miami, FL 33193-1118
Phone
(850) 567-3590
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT1864200 FL Primary

Addresses

Primary practice location

7351 SW 147TH CT
Miami, FL 33193-1118

Mailing address

1125 W 24TH St Apt 3
Hialeah, FL 33010-1951
Phone (850) 567-3590

Other identifiers 1

IdentifierTypeStateIssuer
020123600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL castillofara1958@gmail.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

State licenses

LicenseStateTypeSpecialty
RBT1864200FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1558809830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W 24TH ST APT 3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101951",
            "telephone_number": "850-567-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931118",
            "telephone_number": "850-567-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO GARCIA",
        "first_name": "FARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT1864200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020123600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "castillofara1958@gmail.com",
            "affiliation": "N",
            "endpointDescription": "8505673590",
            "address_1": "7351 SW 147th Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331931118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.