MEDICARE: LAURA INES CASTILLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-26-528520	FL

General Provider Information

NPI Number	:	1972447654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA INES CASTILLO

Provider Business Mailing Address
First Line	:	14619 SW 182ND TER
Second Line	:	MIAMI, FL 33177
City	:	MIAMI
State	:	FL
Zip	:	33177-7776
Country	:	US
Telephone Number	:	786-334-2650
Fax Number	:	786-334-2650

Provider Business Practice Location Address
First Line	:	14619 SW 182ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-7776
Country	:	US
Telephone Number	:	786-334-2650
Fax Number	:	786-334-2650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ LAURA INES CASTILLO ” Practice Location

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