Individual
NICOLE MARIE CASTRILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 E LAKE PL, MIRAMAR, FL 33023-4937
(786) 319-3298
Mailing address
10300 SW 51ST ST, MIAMI, FL 33165-6231
(786) 319-3298
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16326
FL
106S00000X
Behavior Technician
RBT-21-182843
FL
Other
Enumeration date
10/04/2021
Last updated
08/18/2025
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