Shawna Leticia Villa Castano

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1801 Royal LN Ste 300
Farmers Branch, TX 75229-3179

Phone

(888) 754-0298

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: m.bowen@inbloomautism.com

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1861112062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18950 LINA ST APT 622",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752872448",
            "telephone_number": "707-628-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROYAL LN STE 300",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752293179",
            "telephone_number": "888-754-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANO",
        "first_name": "SHAWNA",
        "middle_name": "LETICIA VILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "M.Bowen@inbloomautism.com",
            "affiliation": "N",
            "address_1": "1801 Royal Ln Ste 300",
            "city": "Farmers Branch",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752293179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Carson IV, M.S., BCBA
• Idajah Carter
• Jasmine Carter
• Jeremiah Castaneda
• Kimberly Dawn Castaneda
• Gabrielle Roxann Castilla
• Marcela Castillo-Alvarez
• Reynaldo Castillo
• Jose Adrian Cavazos
• Nancy Cawthon

• Behavior Technician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.