=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548843337
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN L CASTILLO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2021
-----------------------------------------------------
Last Update Date | 12/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5667 E FLETCHER AVE APT 1-301D
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33617-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-947-3596
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5667 E FLETCHER AVE APT 1-301D
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33617-1140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-323-8004
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106E00000X
-----------------------------------------------------
Taxonomy Name | Assistant Behavior Analyst
-----------------------------------------------------
License Number | 0-25-16688
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------