Healthcare Provider Details

I. General information

NPI: 1306726310
Provider Name (Legal Business Name): VIVIANA CASTRO PAULA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1053 FARMINGTON AVE STE 127
FARMINGTON CT
06032-1574
US

IV. Provider business mailing address

1053 FARMINGTON AVE STE 127
FARMINGTON CT
06032-1574
US

V. Phone/Fax

Practice location:
  • Phone: 860-772-0366
  • Fax:
Mailing address:
  • Phone: 860-772-0366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-83862
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: