MEDICARE: ROXANA CASTILLO RBT

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
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790132389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANA CASTILLO RBT

Provider Business Mailing Address
First Line	:	4544 SW 132ND CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 SW 24TH ST STE 315
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1692
Country	:	US
Telephone Number	:	305-480-4006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	03/20/2026

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Directions to “ ROXANA CASTILLO RBT” Practice Location

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