Provider Demographics
NPI:1558163642
Name:CASTRO SANCHEZ, JOSE ENRIQUE (RBT-25-408077)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ENRIQUE
Last Name:CASTRO SANCHEZ
Suffix:
Gender:
Credentials:RBT-25-408077
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8468 MATTITUCK CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8536
Mailing Address - Country:US
Mailing Address - Phone:407-487-0329
Mailing Address - Fax:
Practice Address - Street 1:8468 MATTITUCK CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8536
Practice Address - Country:US
Practice Address - Phone:407-487-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-408077106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician