Healthcare Provider Details

I. General information

NPI: 1639941487
Provider Name (Legal Business Name): HELEN CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 SW 6TH AVE
CAPE CORAL FL
33991-2753
US

IV. Provider business mailing address

1006 SW 6TH AVE
CAPE CORAL FL
33991-2753
US

V. Phone/Fax

Practice location:
  • Phone: 305-930-1219
  • Fax:
Mailing address:
  • Phone: 305-930-1219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB669535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: