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NPI Code Detail

MEDICARE: JENNIFER CASTANEDA

MEDICARE: JENNIFER 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
1106S00000XBehavior TechnicianRBT-26-525403FL

General Provider Information

NPI Number : 1487581187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CASTANEDA
Provider Business Mailing Address
First Line : 3221 CHIQUITA BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4288
Country : US
Telephone Number : 239-910-0712
Fax Number : 855-237-3130
Provider Business Practice Location Address
First Line : 3221 CHIQUITA BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-4288
Country : US
Telephone Number : 239-910-0712
Fax Number : 855-237-3130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ JENNIFER CASTANEDA ” Practice Location

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