Provider Demographics
NPI:1992547301
Name:CADOURA, NATALIYA V
Entity type:Individual
Prefix:
First Name:NATALIYA
Middle Name:V
Last Name:CADOURA
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 1:135 SPRING GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-2514
Mailing Address - Country:US
Mailing Address - Phone:352-267-8757
Mailing Address - Fax:
Practice Address - Street 1:135 SPRING GLEN DR
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2514
Practice Address - Country:US
Practice Address - Phone:352-267-8757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician