Healthcare Provider Details

I. General information

NPI: 1447086574
Provider Name (Legal Business Name): STEPHANYE CABRERA MOJENA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3262 W 70TH ST
HIALEAH FL
33018-7157
US

IV. Provider business mailing address

3262 W 70TH ST
HIALEAH FL
33018-7157
US

V. Phone/Fax

Practice location:
  • Phone: 786-222-6649
  • Fax:
Mailing address:
  • Phone: 786-222-6649
  • 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: