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NPI Code Detail

MEDICARE: KIMBERLY DAWN CASTANEDA

MEDICARE: KIMBERLY DAWN CASTANEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-68513TX

General Provider Information

NPI Number : 1144966565
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DAWN CASTANEDA
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 13500 MIDWAY RD STE 300
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75244-5136
Country : US
Telephone Number : 877-418-2978
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2022
Last Update Date : 08/22/2025

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Directions to “ KIMBERLY DAWN CASTANEDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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