Provider Demographics
NPI:1871087122
Name:ORSINI CASTILLO, ANALYN
Entity type:Individual
Prefix:
First Name:ANALYN
Middle Name:
Last Name:ORSINI CASTILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15446 SW 151ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-6202
Mailing Address - Country:US
Mailing Address - Phone:786-250-9085
Mailing Address - Fax:
Practice Address - Street 1:15446 SW 151ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-6202
Practice Address - Country:US
Practice Address - Phone:786-250-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst