MEDICARE: JULIE CABRAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		TX
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1356001770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE CABRAL

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY STE 200
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6450 N DESERT BLVD STE B106
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-8524
Country	:	US
Telephone Number	:	915-308-0123
Fax Number	:	915-234-2970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2021
Last Update Date	:	04/25/2025

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Directions to “ JULIE CABRAL ” Practice Location

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