Provider Demographics
NPI:1043748213
Name:CASTILLO GARCIA, YANELYS (RBT-19-90944)
Entity Type:Individual
Prefix:
First Name:YANELYS
Middle Name:
Last Name:CASTILLO GARCIA
Suffix:
Gender:F
Credentials:RBT-19-90944
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 CONLEE ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-2638
Mailing Address - Country:US
Mailing Address - Phone:786-357-3933
Mailing Address - Fax:
Practice Address - Street 1:3808 33RD ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-4212
Practice Address - Country:US
Practice Address - Phone:239-674-1083
Practice Address - Fax:888-368-5827
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-90944106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician