MEDICARE: AMANDA SANCHEZ CASTILLO SLPA

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	106S00000X	Behavior Technician
2	2355S0801X	Speech-Language Assistant	SI6454	FL
3	222Q00000X	Developmental Therapist

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	:	1972249449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA SANCHEZ CASTILLO SLPA

Provider Business Mailing Address
First Line	:	2595 TAMPA RD STE Q
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3132
Country	:	US
Telephone Number	:	727-804-4836
Fax Number	:

Provider Business Practice Location Address
First Line	:	2595 TAMPA RD STE Q
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3132
Country	:	US
Telephone Number	:	727-804-4836
Fax Number	:

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

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	05/17/2026

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Directions to “ AMANDA SANCHEZ CASTILLO SLPA” Practice Location

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