MEDICARE: ANA CASTANO

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	106E00000X	Assistant Behavior Analyst	0-18-8966	FL

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	:	1790180446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA CASTANO

Provider Business Mailing Address
First Line	:	664 SABAL LAKE DR APT 106
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-6061
Country	:	US
Telephone Number	:	321-439-7643
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 S RONALD REAGAN BLVD
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5466
Country	:	US
Telephone Number	:	321-439-7643
Fax Number	:

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

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	01/24/2019

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Directions to “ ANA CASTANO ” Practice Location

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