Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-42119 | FL |
NPI | 1003301631 |
---|---|
Provider Name | Hector Raymond Cabrera |
First Address | Orlando, FL 32807-2105 |
Second Address | Orlando, FL 32822-1781 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 08/09/2021 |