Provider Demographics
NPI:1750273090
Name:CASTIN, SOPHONIE
Entity type:Individual
Prefix:
First Name:SOPHONIE
Middle Name:
Last Name:CASTIN
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 1:2650 NW 56TH AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-2473
Mailing Address - Country:US
Mailing Address - Phone:786-541-4147
Mailing Address - Fax:
Practice Address - Street 1:2650 NW 56TH AVE APT 306
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-2473
Practice Address - Country:US
Practice Address - Phone:786-541-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician