Provider Demographics
NPI:1851951446
Name:RODRIGUEZ CASTRO, YOLISVEL (RBT)
Entity Type:Individual
Prefix:
First Name:YOLISVEL
Middle Name:
Last Name:RODRIGUEZ CASTRO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 SW 136 CT
Mailing Address - Street 2:APT G 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5039
Mailing Address - Country:US
Mailing Address - Phone:786-315-3768
Mailing Address - Fax:
Practice Address - Street 1:6316 SW 136 CT
Practice Address - Street 2:APT G 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5039
Practice Address - Country:US
Practice Address - Phone:786-315-3768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT1864868106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician