Provider Demographics
NPI:1689462194
Name:CABRERA-CONTRERAS, YESENIA SOPHIA
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:SOPHIA
Last Name:CABRERA-CONTRERAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 E 88TH ST APT 550
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-1181
Mailing Address - Country:US
Mailing Address - Phone:918-408-8512
Mailing Address - Fax:
Practice Address - Street 1:2703 E 88TH ST APT 550
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1181
Practice Address - Country:US
Practice Address - Phone:918-408-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician