Provider Demographics
NPI:1790597243
Name:CASTILLO GARCIA, LILLIAM SABINA (RBT)
Entity type:Individual
Prefix:
First Name:LILLIAM
Middle Name:SABINA
Last Name:CASTILLO GARCIA
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 1:14571 SW 156TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4607
Mailing Address - Country:US
Mailing Address - Phone:786-854-7280
Mailing Address - Fax:
Practice Address - Street 1:14571 SW 156TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4607
Practice Address - Country:US
Practice Address - Phone:786-854-7280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-404147106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician