Most Relevant Information
Provider Data
| NPI Number: | 1003636127 |
| Provider Name: | JOSE ALBERTO CASTILLO HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2024 |
| Last Updated: | 10/14/2024 |
Provider Practice Location
5911 NW 173RD DR UNIT 11
HIALEAH
FL
330155122
Practice Location Phone/Fax
| Phone: | 7866559992 |
| Fax: |
Provider Mailing Location
6480 W 8TH AVE
HIALEAH
FL
330126544
Provider Mailing Phone/Fax
| Phone: | 7868934780 |
| Fax: |