Individual provider Active NPI

Katiuska Oliva Cabrera

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1184164212
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1513 NE 18TH Ave
Cape Coral, FL 33909-1656
Phone
(239) 258-8074
NPI assigned
Mar 8, 2017
Last updated
Jul 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10067 FL
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

1513 NE 18TH Ave
Cape Coral, FL 33909-1656

Mailing address

1513 NE 18TH Ave
Cape Coral, FL 33909-1656
Phone (239) 258-8074

Other practice location 1

2120 ne 24 terrace
cape coral, FL 33909
Phone (239) 258-8074

Other practice location 2

2120 ne 24 terrace
cape coral, FL 33909
Phone (239) 258-8074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1184164212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 NE 18TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091656",
            "telephone_number": "239-258-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 NE 18TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091656",
            "telephone_number": "239-258-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 ne 24 terrace",
            "address_purpose": "LOCATION",
            "city": "cape coral",
            "state": "FL",
            "postal_code": "33909",
            "country_code": "US",
            "telephone_number": "239-258-8074",
            "fax_number": "305-742-2190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 ne 24 terrace",
            "address_purpose": "LOCATION",
            "city": "cape coral",
            "state": "FL",
            "postal_code": "33909",
            "country_code": "US",
            "telephone_number": "239-258-8074",
            "fax_number": "305-742-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVA CABRERA",
        "first_name": "KATIUSKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10067",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.