Individual
BRANDON CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5400 S UNIVERSITY DR STE 502, DAVIE, FL 33328-5313
(954) 824-1487
Mailing address
5400 S UNIVERSITY DR STE 502, DAVIE, FL 33328-5313
(954) 824-1487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11621678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11621678
LIC
FL
Enumeration date
04/15/2016
Last updated
11/22/2022
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