Healthcare Provider Details

I. General information

NPI: 1124964036
Provider Name (Legal Business Name): ISABELLA LISETTE CABRAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W KIMBERLY AVE STE 125
PLACENTIA CA
92870-6346
US

IV. Provider business mailing address

13111 CAMILLA ST APT 5
WHITTIER CA
90601-3653
US

V. Phone/Fax

Practice location:
  • Phone: 714-203-6569
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: