Provider Demographics
NPI:1093354151
Name:CABO VALDES, ANAYLET SILVIA
Entity type:Individual
Prefix:
First Name:ANAYLET
Middle Name:SILVIA
Last Name:CABO VALDES
Suffix:
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 1:14359 MIRAMAR PKWY STE 504
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4134
Mailing Address - Country:US
Mailing Address - Phone:954-399-2637
Mailing Address - Fax:
Practice Address - Street 1:11551 SW 26TH ST APT 205
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-7540
Practice Address - Country:US
Practice Address - Phone:786-312-2143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician