Provider Demographics
NPI:1073318671
Name:CARDENAS, ESTHER LILIAN
Entity type:Individual
Prefix:MISS
First Name:ESTHER
Middle Name:LILIAN
Last Name:CARDENAS
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 1:406 S WALTON DR APT 1
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-9307
Mailing Address - Country:US
Mailing Address - Phone:919-912-4005
Mailing Address - Fax:
Practice Address - Street 1:406 S WALTON DR APT 1
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-9307
Practice Address - Country:US
Practice Address - Phone:919-912-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRBT-24-401042106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician