Healthcare Provider Details

I. General information

NPI: 1548843337
Provider Name (Legal Business Name): STEVEN L CASTILLO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18926 PEBBLE LINKS CIR APT 304
TAMPA FL
33647-1899
US

IV. Provider business mailing address

18926 PEBBLE LINKS CIR APT 304
TAMPA FL
33647-1899
US

V. Phone/Fax

Practice location:
  • Phone: 321-323-8004
  • Fax:
Mailing address:
  • Phone: 321-323-8004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2850246
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: