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NPI Code Detail

MEDICARE: NICOLE ASHLEY CASTRO

MEDICARE: NICOLE ASHLEY 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
1103K00000XBehavior Analyst1-24-71443FL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1891466173
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ASHLEY CASTRO
Provider Business Mailing Address
First Line : 6421 N FLORIDA AVE
Second Line : SUITE D-1458
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 6421 N FLORIDA AVE
Second Line : SUITE D-1458
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2021
Last Update Date : 12/02/2025

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Directions to “ NICOLE ASHLEY CASTRO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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