Healthcare Provider Details

I. General information

NPI: 1720630023
Provider Name (Legal Business Name): RACHEL S CASTRO DE LA NUEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31160 SW 195TH AVE
HOMESTEAD FL
33030-3614
US

IV. Provider business mailing address

31160 SW 195TH AVE
HOMESTEAD FL
33030-3614
US

V. Phone/Fax

Practice location:
  • Phone: 305-876-4821
  • Fax:
Mailing address:
  • Phone: 305-876-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86441
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: