Individual provider Active NPI

Yanelis Castillo

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1902306236
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-52998 Issued in FL
Practice address
9600 NW 25TH St Ste PH
Doral, FL 33172
Phone
(305) 597-3861
Fax
(305) 597-3863
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-52998 FL Primary

Addresses

Primary practice location

9600 NW 25TH St Ste PH
Doral, FL 33172

Mailing address

9600 NW 25TH St Ste PH
Doral, FL 33172-1416
Phone (305) 597-3861

Other practice location 1

2500 NW 107th Ave Ste 200
Doral, FL 33172-5923
Phone (305) 753-5637

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

State licenses

LicenseStateTypeSpecialty
RBT-18-52998FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1902306236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE PH",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721416",
            "telephone_number": "305-597-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE PH",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33172",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 NW 107th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331725923",
            "country_code": "US",
            "telephone_number": "305-753-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "YANELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-52998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.