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NPI Code Detail

MEDICARE: ANTHONY CABALLERO

MEDICARE: ANTHONY CABALLERO
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
1106S00000XBehavior Technician25-425653TX

General Provider Information

NPI Number : 1801754700
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY CABALLERO
Provider Business Mailing Address
First Line : 110 SW THOMAS ST
Second Line :
City : BURLESON
State : TX
Zip : 76028-3818
Country : US
Telephone Number : 817-717-0903
Fax Number :
Provider Business Practice Location Address
First Line : 110 SW THOMAS ST
Second Line :
City : BURLESON
State : TX
Zip : 76028-3818
Country : US
Telephone Number : 817-717-0903
Fax Number : 682-334-7430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ ANTHONY CABALLERO ” Practice Location

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