Provider Demographics
NPI:1487362141
Name:FERNANDEZ CABRERA, CLAUDIA
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:
Last Name:FERNANDEZ CABRERA
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 1:2963 SW 156TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4918
Mailing Address - Country:US
Mailing Address - Phone:786-868-2791
Mailing Address - Fax:
Practice Address - Street 1:2963 SW 156TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4918
Practice Address - Country:US
Practice Address - Phone:786-868-2791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-241631106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician