Healthcare Provider Details
I. General information
NPI: 1508773516
Provider Name (Legal Business Name): DR FELIPE CASTRO BEHAVIORAL INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3734 EMBERS PKWY W
CAPE CORAL FL
33993-6968
US
IV. Provider business mailing address
3734 EMBERS PKWY W
CAPE CORAL FL
33993-6968
US
V. Phone/Fax
- Phone: 786-873-0935
- Fax:
- Phone: 786-873-0935
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SYNTHIA
FELIPE CASTRO
Title or Position: OWNER
Credential: PH.D., BCBA-D
Phone: 786-873-0935