Individual
ANA LUCIA CASTILLO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 W GRACE ST, TAMPA, FL 33607-5113
(813) 992-5150
Mailing address
3212 W GRACE ST, TAMPA, FL 33607-5113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-413505
FL
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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