Provider Demographics
NPI:1093237059
Name:CRIBEIRO, MARTA G
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:G
Last Name:CRIBEIRO
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 1:1503 ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-2116
Mailing Address - Country:US
Mailing Address - Phone:786-620-1660
Mailing Address - Fax:
Practice Address - Street 1:1503 ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2116
Practice Address - Country:US
Practice Address - Phone:786-620-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician