Healthcare Provider Details

I. General information

NPI: 1538719257
Provider Name (Legal Business Name): VALERIA CASTANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2019
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17773 SW 2ND ST
PEMBROKE PINES FL
33029-3924
US

IV. Provider business mailing address

835 NW 199TH ST
MIAMI FL
33169-2847
US

V. Phone/Fax

Practice location:
  • Phone: 945-589-2347
  • Fax: 954-301-2246
Mailing address:
  • Phone: 305-753-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-69584
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: