Provider Demographics
NPI:1992379630
Name:CABRERA, JAHMAI JUDAH
Entity Type:Individual
Prefix:
First Name:JAHMAI
Middle Name:JUDAH
Last Name:CABRERA
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 1:3046 FOOTHILL RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2039
Mailing Address - Country:US
Mailing Address - Phone:805-318-0243
Mailing Address - Fax:
Practice Address - Street 1:3046 FOOTHILL RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2039
Practice Address - Country:US
Practice Address - Phone:805-318-0243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician