Healthcare Provider Details

I. General information

NPI: 1053938928
Provider Name (Legal Business Name): YAILYN OLIVA CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

692 S HAVERHILL RD
WEST PALM BEACH FL
33415-3804
US

IV. Provider business mailing address

692 S HAVERHILL RD
WEST PALM BEACH FL
33415-3804
US

V. Phone/Fax

Practice location:
  • Phone: 561-507-4756
  • Fax:
Mailing address:
  • Phone: 561-507-4756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: