Provider Demographics
NPI:1275382517
Name:RODRIGUEZ CASTRO, NAILA (RBT)
Entity type:Individual
Prefix:
First Name:NAILA
Middle Name:
Last Name:RODRIGUEZ 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 1:3652 SW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2512
Mailing Address - Country:US
Mailing Address - Phone:786-790-2594
Mailing Address - Fax:
Practice Address - Street 1:3652 SW 5TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2512
Practice Address - Country:US
Practice Address - Phone:786-790-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-347489106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician