Provider Demographics
NPI:1710696810
Name:CABATO, ERIC CABULOY (RBT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:CABULOY
Last Name:CABATO
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-010 LEOLUA ST APT B210
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1815
Mailing Address - Country:US
Mailing Address - Phone:808-358-3087
Mailing Address - Fax:
Practice Address - Street 1:94-010 LEOLUA ST APT B210
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1815
Practice Address - Country:US
Practice Address - Phone:808-358-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-21-188779106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician