Healthcare Provider Details

I. General information

NPI: 1417713546
Provider Name (Legal Business Name): CLAUDIA HERRERA CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SAVONA POINT CIR UNIT 204
CAPE CORAL FL
33914-3639
US

IV. Provider business mailing address

1810 SAVONA POINT CIR UNIT 204
CAPE CORAL FL
33914-3639
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-0225
  • Fax:
Mailing address:
  • Phone: 786-553-0225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-328926
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: