Provider Demographics
NPI:1740980366
Name:CUTAIA, ISABELLE CUTAIA ROSE (RBT)
Entity type:Individual
Prefix:
First Name:ISABELLE CUTAIA
Middle Name:ROSE
Last Name:CUTAIA
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 1:382 CASA SEVILLA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-4791
Mailing Address - Country:US
Mailing Address - Phone:904-207-2525
Mailing Address - Fax:
Practice Address - Street 1:180 CENTER PLACE WAY
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-8859
Practice Address - Country:US
Practice Address - Phone:904-247-2179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-247813106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician