Healthcare Provider Details

I. General information

NPI: 1346852357
Provider Name (Legal Business Name): ABIGAIL CHRISTINE CASTLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WALL ST STE 2922
NEW YORK NY
10005-1304
US

IV. Provider business mailing address

180 ASHLAND PL APT 3403
BROOKLYN NY
11217-5651
US

V. Phone/Fax

Practice location:
  • Phone: 212-512-0860
  • Fax:
Mailing address:
  • Phone: 212-512-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-85879
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: