Malaika Ixmucane Castillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7143 Stonewall Parkway
Mechanicsville, VA 23111

Phone

(804) 557-0881

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• River City ABA

  • Behavior Analyst
  • Mechanicsville, VA
  • NPI 1922519867
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1811677735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 S STEVENS HOLLOW DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 STONEWALL PARKWAY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23111",
            "telephone_number": "804-557-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MALAIKA",
        "middle_name": "IXMUCANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Carter, OT
• Lauren Elizabeth Carter, OTR
• Madeline Stella-Sharon Carter
• Trina Carter, CNS
• Ridley Brooke Shushan Cason, RN
• Richard Castillo, LPTA
• Dean Emerson Caven, M.D.
• Cedarfield Corporation
• Center of the Universe Investments LLC (Blair's Drug Store)
• Central Virginia Dental Care PLC (Sparkle Pediatric Dentistry)

• Behavior Technician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.