Adria Maria Castillo Soto

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35537 Issued in FL

Practice address

4880 NW 177TH St
Miami Gardens, FL 33055-3646

Phone

(786) 340-4722

NPI assigned

May 23, 2016

Last updated

Apr 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ac Behavioral Services LLC

  • Behavior Analyst
  • Miami Gardens, FL
  • NPI 1528779253
  NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1669829404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 NW 177TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553646",
            "telephone_number": "786-340-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 NW 177TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553646",
            "telephone_number": "786-340-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO SOTO",
        "first_name": "ADRIA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-35537",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "16-23259",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982045290",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Ernesto Casas Ricardo
• Mylena Casas
• Milay Castillo Concepcion
• Suleidy Castillo Fernandez
• Zulema de la Caridad Castillo Fernandez
• Gabriella Michelle Castillo
• John Castillo
• Katiusca Castillo
• Yenys Castillo
• Yaritza Castro Diaz, RBT-25-419153

• Behavior Analyst in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.