MEDICARE: ESTELA D RODRIGUEZ CASTRO BCBA, RN

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	1-20-46098	FL
2	163WH0200X	Home Health Registered Nurse	RN9430049	FL
3	253Z00000X	In Home Supportive Care Agency

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	:	1811554231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELA D RODRIGUEZ CASTRO BCBA, RN

Provider Business Mailing Address
First Line	:	1500 COLONIAL BLVD STE 102
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1025
Country	:	US
Telephone Number	:	239-294-0901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 COLONIAL BLVD STE 102
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1025
Country	:	US
Telephone Number	:	239-294-0901
Fax Number	:

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

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	09/09/2025

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