MEDICARE: DAYMEE NOVO CABRERA RBT/OWNER

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

General Provider Information

NPI Number	:	1932968088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYMEE NOVO CABRERA RBT/OWNER

Provider Business Mailing Address
First Line	:	722 NW 111TH PL APT 6
Second Line	:
City	:	SWEETWATER
State	:	FL
Zip	:	33172-3775
Country	:	US
Telephone Number	:	786-334-1664
Fax Number	:

Provider Business Practice Location Address
First Line	:	4990 SW 72ND AVE STE 111
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5524
Country	:	US
Telephone Number	:	786-334-1664
Fax Number	:

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

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	03/19/2024

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