MEDICARE: GEOSVANIS CIFRAT CABRERA

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	:	1144110107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOSVANIS CIFRAT CABRERA

Provider Business Mailing Address
First Line	:	1550 NE 123RD ST APT 504
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-6073
Country	:	US
Telephone Number	:	786-714-0142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 NE 123RD ST APT 504
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-6073
Country	:	US
Telephone Number	:	786-714-0142
Fax Number	:

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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Directions to “ GEOSVANIS CIFRAT CABRERA ” Practice Location

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