Healthcare Provider Details

I. General information

NPI: 1437096724
Provider Name (Legal Business Name): LIETTER J CABRERA FIGUEREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14780 SW 82ND ST
MIAMI FL
33193-1550
US

IV. Provider business mailing address

14780 SW 82ND ST
MIAMI FL
33193-1550
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-489885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: