Individual
ALEXANDRA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6740 CROOKED PALM TER, MIAMI LAKES, FL 33014-2918
(305) 748-5553
Mailing address
6740 CROOKED PALM TER, MIAMI LAKES, FL 33014-2918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020466300
—
FL
Enumeration date
09/12/2019
Last updated
09/12/2019
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