Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | 20-149451 | FL |
NPI | 1003409657 |
---|---|
Provider Name | Maria A Castano |
First Address | Miami, FL 33174-3444 |
Second Address | Miami, FL 33174-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2021 |
Last Update Date | 09/12/2021 |