Individual
NAOMI ILENE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, SLPA
Contact information
Practice address
4680 LAKE UNDERHILL RD, ORLANDO, FL 32807-1182
(407) 904-0137
Mailing address
4780 DATA CT, ORLANDO, FL 32817-8331
(407) 904-0133
(407) 250-4833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-180308
FL
2355S0801X
Speech-Language Assistant
Primary
SI5781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111453100
—
FL
Enumeration date
03/10/2022
Last updated
10/27/2022
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