Provider Demographics
NPI:1033829593
Name:CABRERA, ERIKA VANESSA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:VANESSA
Last Name: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 1:1550 NW 128TH DR APT 308
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5213
Mailing Address - Country:US
Mailing Address - Phone:305-283-0454
Mailing Address - Fax:
Practice Address - Street 1:1550 NW 128TH DR APT 308
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-5213
Practice Address - Country:US
Practice Address - Phone:305-283-0454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-24
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician