Provider Demographics
NPI:1932858768
Name:CABRERA, REGLA LISI SR
Entity Type:Individual
Prefix:MRS
First Name:REGLA
Middle Name:LISI
Last Name:CABRERA
Suffix:SR
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 1:3909 32ND ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-4102
Mailing Address - Country:US
Mailing Address - Phone:786-387-7332
Mailing Address - Fax:
Practice Address - Street 1:3909 32ND ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-4102
Practice Address - Country:US
Practice Address - Phone:786-387-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician