Active NPI
Nicole Marie Castro, MA
- Behavior Analyst
- Coos Bay, OR
National Provider Identifier
1649969486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- ABA-B-10241057
- Practice address
- 465 Elrod Ave Ste 101
Coos Bay, OR 97420-1532 - Phone
- (541) 751-7948
- NPI assigned
- May 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-121625 | CA | |
| Behavior Analyst | 103K00000X | ABA-B-10241057 | OR | Primary |
Addresses
Primary practice location
465 Elrod Ave Ste 101
Coos Bay, OR 97420-1532
Mailing address
465 Elrod Ave
Coos Bay, OR 97420-1532
Phone (541) 751-7948
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-B-10241057 | OR | MD | Behavioral Analyst |
| RBT-20-121625 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1649969486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 ELROD AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201532",
"telephone_number": "541-751-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ELROD AVE STE 101",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201532",
"telephone_number": "541-751-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-121625",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABA-B-10241057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.