Healthcare Provider Details

I. General information

NPI: 1205613130
Provider Name (Legal Business Name): ECABRERA SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10521 SW 40TH ST
MIAMI FL
33165-3747
US

IV. Provider business mailing address

10521 SW 40TH ST
MIAMI FL
33165-3747
US

V. Phone/Fax

Practice location:
  • Phone: 786-853-4285
  • Fax:
Mailing address:
  • Phone: 786-853-4285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EIDYS CABRERA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 786-853-4285