Provider Demographics
NPI:1891031654
Name:CABALEIRO, YODALIO JR
Entity Type:Individual
Prefix:MR
First Name:YODALIO
Middle Name:
Last Name:CABALEIRO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:YODALIO
Other - Middle Name:
Other - Last Name:CABALEIRO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:LCADC
Mailing Address - Street 1:37 S FINLEY AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1445
Mailing Address - Country:US
Mailing Address - Phone:908-361-3262
Mailing Address - Fax:973-648-2139
Practice Address - Street 1:37 S FINLEY AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1445
Practice Address - Country:US
Practice Address - Phone:908-361-3262
Practice Address - Fax:973-648-2139
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00188800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)