Healthcare Provider Details

I. General information

NPI: 1912825720
Provider Name (Legal Business Name): TORYLEE CASTRO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

480 WAIANUENUE AVE
HILO HI
96720-2521
US

IV. Provider business mailing address

706 W KAWAILANI ST
HILO HI
96720-3149
US

V. Phone/Fax

Practice location:
  • Phone: 808-974-4535
  • Fax:
Mailing address:
  • Phone: 808-974-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-227622
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: