Healthcare Provider Details

I. General information

NPI: 1174361950
Provider Name (Legal Business Name): LILIBET PEREZ CASTILLO RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 NE 169TH ST
NORTH MIAMI BEACH FL
33162-2329
US

IV. Provider business mailing address

6970 NW 186TH ST APT 514
HIALEAH FL
33015-3150
US

V. Phone/Fax

Practice location:
  • Phone: 786-655-3118
  • Fax:
Mailing address:
  • Phone: 786-655-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-358269
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: