Provider Demographics
NPI:1720630023
Name:CASTRO, RACHEL S (RBT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name: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 1:7332 SW 134TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3242
Mailing Address - Country:US
Mailing Address - Phone:305-876-4821
Mailing Address - Fax:
Practice Address - Street 1:7332 SW 134TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3242
Practice Address - Country:US
Practice Address - Phone:305-876-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty