Healthcare Provider Details

I. General information

NPI: 1265355838
Provider Name (Legal Business Name): KATHERINE ANAHI CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 BOSQUE BLVD
WACO TX
76710-4020
US

IV. Provider business mailing address

388 DOWNSVILLE RD
ROBINSON TX
76706-7458
US

V. Phone/Fax

Practice location:
  • Phone: 254-265-7887
  • Fax:
Mailing address:
  • Phone: 254-447-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: