Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1003353913 |
---|---|
Provider Name | Geraldine Castillo Barrios |
First Address | Hialeah, FL 33013-2030 |
Second Address | Hialeah, FL 33013-2030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2017 |
Last Update Date | 30/01/2017 |