Provider Demographics
NPI:1285275396
Name:CABRERA, NADIA B (RBT)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:B
Last Name:CABRERA
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 1:11900 BISCAYNE BLVD STE 502
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2749
Mailing Address - Country:US
Mailing Address - Phone:305-342-5282
Mailing Address - Fax:305-354-2880
Practice Address - Street 1:11900 BISCAYNE BLVD STE 502
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2749
Practice Address - Country:US
Practice Address - Phone:305-342-5282
Practice Address - Fax:305-354-2880
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-97893106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT-19-97893Medicaid