Provider Demographics
NPI:1194433185
Name:ABA CASTRIZ INC
Entity type:Organization
Organization Name:ABA CASTRIZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES CASTRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-308-8326
Mailing Address - Street 1:18560 SW 128TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3035
Mailing Address - Country:US
Mailing Address - Phone:786-308-8326
Mailing Address - Fax:
Practice Address - Street 1:1541 SE 12TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-2699
Practice Address - Country:US
Practice Address - Phone:786-214-0041
Practice Address - Fax:786-783-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty