Provider Demographics
NPI:1619447133
Name:CABRERA, DANIELLA ESPERANZA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLA
Middle Name:ESPERANZA
Last Name:CABRERA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:DANIELLA
Other - Middle Name:ESPERANZA
Other - Last Name:BUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 ROUNDTREE CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-2640
Mailing Address - Country:US
Mailing Address - Phone:916-225-9711
Mailing Address - Fax:
Practice Address - Street 1:120 ASCOT DR STE D
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3400
Practice Address - Country:US
Practice Address - Phone:916-787-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician