Provider Demographics
NPI:1487450045
Name:CASTELLON PINEIRO, YEILIN
Entity type:Individual
Prefix:
First Name:YEILIN
Middle Name:
Last Name:CASTELLON PINEIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YEILIN
Other - Middle Name:
Other - Last Name:CASTELLON PINEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5120 N JAMAICA ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-6739
Mailing Address - Country:US
Mailing Address - Phone:813-648-1634
Mailing Address - Fax:
Practice Address - Street 1:5120 N JAMAICA ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-6739
Practice Address - Country:US
Practice Address - Phone:813-648-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1086995106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician