Healthcare Provider Details

I. General information

NPI: 1972249449
Provider Name (Legal Business Name): AMANDA SANCHEZ CASTILLO SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 TAMPA RD STE Q
PALM HARBOR FL
34684-3132
US

IV. Provider business mailing address

2595 TAMPA RD STE Q
PALM HARBOR FL
34684-3132
US

V. Phone/Fax

Practice location:
  • Phone: 727-804-4836
  • Fax:
Mailing address:
  • Phone: 727-804-4836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI6454
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: