MEDICARE: SARAH A CASTRO

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

General Provider Information

NPI Number	:	1861919235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH A CASTRO

Provider Business Mailing Address
First Line	:	5849 NW 7TH ST APT 411
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3153
Country	:	US
Telephone Number	:	305-607-1314
Fax Number	:

Provider Business Practice Location Address
First Line	:	5849 NW 7TH ST APT 411
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3153
Country	:	US
Telephone Number	:	305-607-1314
Fax Number	:

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

Provider Enumeration Date	:	08/27/2017
Last Update Date	:	07/21/2022

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Directions to “ SARAH A CASTRO ” Practice Location

Language	Start Address	Practice Location

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