Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Casillas

Individual provider Behavior Technician · NPI 1720782063

Checked by hand September 19, 2026

Dominique Casillas is a Behavior Technician in Edgewater, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2111 S Ridgewood Ave Ste 11
Edgewater, FL 32141
Phone: (203) 808-0402
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1720782063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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