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General NPI Number Information
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NPI Number | 1548124472
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Entity Type | Individual
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Provider Name | LEA CABRERA CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 4418 5TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1531
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Country | US
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Telephone | 727-492-5369
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Fax |
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Provider Business Mailing Address
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Address Line | 12508 TALL PINES WAY
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City | LAKEWOOD RCH
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State | FL
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Zip | 34202-2885
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Country | US
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Telephone | 941-290-4169
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-491658
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License Number State | FL
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