Provider Demographics
NPI:1053188946
Name:RODRIGUEZ CASTRO, ELIM ADELA (RBT)
Entity type:Individual
Prefix:
First Name:ELIM
Middle Name:ADELA
Last Name:RODRIGUEZ CASTRO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:OTHER
Other - Middle Name:
Other - Last Name:OTHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1335 NW 5TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4850
Mailing Address - Country:US
Mailing Address - Phone:786-389-4187
Mailing Address - Fax:
Practice Address - Street 1:1335 NW 5TH ST APT 6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4850
Practice Address - Country:US
Practice Address - Phone:786-389-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician