Active NPI
Brandon Castillo, BCBA
- Behavior Analyst
- Davie, FL
National Provider Identifier
1982058996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11621678
- Practice address
- 5400 S University Dr Ste 502
Davie, FL 33328-5313 - Phone
- (954) 824-1487
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11621678 | FL | Primary |
Addresses
Primary practice location
5400 S University Dr Ste 502
Davie, FL 33328-5313
Mailing address
5400 S University Dr Ste 502
Davie, FL 33328-5313
Phone (954) 824-1487
Other practice location 1
3650 NW 8th Street
Suite 109
Sunrise, FL 33325
Phone (954) 824-1487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11621678 | Other | FL | LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11621678 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1982058996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 502",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285313",
"telephone_number": "954-824-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 502",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285313",
"telephone_number": "954-824-1487"
}
],
"practiceLocations": [
{
"address_1": "3650 NW 8th Street",
"address_2": "Suite 109",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "33325",
"country_code": "US",
"telephone_number": "954-824-1487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "BRANDON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2022-11-22",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "11621678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "11621678",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.