Provider Demographics
NPI:1922516277
Name:CABRERAS, REINOLD
Entity Type:Individual
Prefix:MR
First Name:REINOLD
Middle Name:
Last Name:CABRERAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 NE MIAMI GARDENS DR APT 216
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5075
Mailing Address - Country:US
Mailing Address - Phone:772-577-0219
Mailing Address - Fax:
Practice Address - Street 1:1351 NE MIAMI GARDENS DR APT 216
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-5075
Practice Address - Country:US
Practice Address - Phone:772-577-0219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst