Provider Demographics
NPI:1336931799
Name:CASTILLO CABRERA, YAIKELIS
Entity type:Individual
Prefix:
First Name:YAIKELIS
Middle Name:
Last Name:CASTILLO CABRERA
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 1:1255 NE 11TH ST APT E105
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-4536
Mailing Address - Country:US
Mailing Address - Phone:786-836-9863
Mailing Address - Fax:
Practice Address - Street 1:1255 NE 11TH ST APT E105
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4536
Practice Address - Country:US
Practice Address - Phone:786-836-9863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-435358106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician