Provider Demographics
NPI:1124828892
Name:CASTRO DIAZ, YARITZA (RBT-25-419153)
Entity type:Individual
Prefix:
First Name:YARITZA
Middle Name:
Last Name:CASTRO DIAZ
Suffix:
Gender:
Credentials:RBT-25-419153
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 VESTAL DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5860
Mailing Address - Country:US
Mailing Address - Phone:786-458-0031
Mailing Address - Fax:786-301-7170
Practice Address - Street 1:18646 NW 53RD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-5307
Practice Address - Country:US
Practice Address - Phone:786-458-0031
Practice Address - Fax:786-301-7170
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-419153106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician