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Individual

YESSENIA HINDIRA CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
(888) 754-0398
Mailing address
4969 SW 92ND AVE, COOPER CITY, FL 33328-3527
(754) 207-1708

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
02617016
FL
106S00000X
Behavior Technician
RBT-21-180363
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1838555
FL
Enumeration date
04/30/2022
Last updated
04/06/2026
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