Provider Demographics
NPI:1982397816
Name:CASTILLO MENDEZ, NAOMIS DE LA CARIDAD (RBT)
Entity Type:Individual
Prefix:
First Name:NAOMIS
Middle Name:DE LA CARIDAD
Last Name:CASTILLO MENDEZ
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 1:551 E 44TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1913
Mailing Address - Country:US
Mailing Address - Phone:786-795-7472
Mailing Address - Fax:
Practice Address - Street 1:551 E 44TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1913
Practice Address - Country:US
Practice Address - Phone:786-795-7472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician