Provider Demographics
NPI:1457179871
Name:CABRERA PEREIRA, BARBARA LIENNYS (RBT)
Entity type:Individual
Prefix:
First Name:BARBARA LIENNYS
Middle Name:
Last Name:CABRERA PEREIRA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LUDLAM DR APT 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4980
Mailing Address - Country:US
Mailing Address - Phone:786-239-0695
Mailing Address - Fax:
Practice Address - Street 1:111 LUDLAM DR APT 2
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-4980
Practice Address - Country:US
Practice Address - Phone:786-239-0695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1102697106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty