Provider Demographics
NPI:1942485255
Name:CABALLERO, SYLVIA LISSETTE
Entity Type:Individual
Prefix:MISS
First Name:SYLVIA
Middle Name:LISSETTE
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 N MAIN ST
Mailing Address - Street 2:B
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5476
Mailing Address - Country:US
Mailing Address - Phone:714-633-0502
Mailing Address - Fax:
Practice Address - Street 1:1095 N MAIN ST
Practice Address - Street 2:B
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5476
Practice Address - Country:US
Practice Address - Phone:714-633-0502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)