Provider Demographics
NPI:1821543299
Name:TERESA CABRERA
Entity Type:Organization
Organization Name:TERESA CABRERA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:305-962-5917
Mailing Address - Street 1:6831 W 14TH CT APT 111
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4530
Mailing Address - Country:US
Mailing Address - Phone:305-962-5917
Mailing Address - Fax:
Practice Address - Street 1:6831 W 14TH CT APT 111
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4530
Practice Address - Country:US
Practice Address - Phone:305-962-5917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty