Individual
ANA LAURA CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 SW 287TH ST, HOMESTEAD, FL 33033-1630
(786) 759-5504
Mailing address
14500 SW 287TH ST, HOMESTEAD, FL 33033-1630
(786) 759-5504
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-56662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022178400
—
FL
Enumeration date
05/30/2018
Last updated
10/19/2020
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