Active NPI
Anna Marisa Castillo
- Behavior Technician
- Allen Park, MI
National Provider Identifier
1629944772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10021 Ruth Ave
Allen Park, MI 48101-1378 - Phone
- (313) 969-0804
- NPI assigned
- Oct 15, 2025
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
10021 Ruth Ave
Allen Park, MI 48101-1378
Mailing address
10021 Ruth Ave
Allen Park, MI 48101-1378
Phone (313) 969-0804
Other practice location 1
10225 Laker Ln
Allendale, MI 49401-8912
Phone (313) 969-0804 ext. 60804
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1629944772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 RUTH AVE",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011378",
"telephone_number": "313-969-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10021 RUTH AVE",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011378",
"telephone_number": "313-969-0804"
}
],
"practiceLocations": [
{
"address_1": "10225 Laker Ln",
"address_purpose": "LOCATION",
"city": "Allendale",
"state": "MI",
"postal_code": "494018912",
"country_code": "US",
"telephone_number": "313-969-0804 x60804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "ANNA",
"middle_name": "MARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-24",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.