Gustavo Oscar Polo Cabrera

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23296092 Issued in FL

Practice address

420 S SR7 #174
Royal Palm Beach, FL 33414

Phone

(561) 568-9367

NPI assigned

Oct 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Square One Behavioral Services Inc.

  • Speech-Language Pathologist
  • Royal Palm Beach, FL
  • NPI 1558076604
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1265214241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4398 VICLIFF RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067569",
            "telephone_number": "561-985-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SR7 #174",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-568-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO CABRERA",
        "first_name": "GUSTAVO",
        "middle_name": "OSCAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23296092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planet Behavior Inc.
• Plumb Optical, Inc. D.B.a. Your Eyes Only
• Mark Anthony Plumb, O.D.
• Lynne Margot Poirier, P.T.
• Melissa Poirier
• Ayleen Porter-Luke, M.A., RDN, LDN
• Positive Start Counseling Services, Inc
• Cynthia Post-Bonvino, PA
• Lucy Previl
• Principled Chiropractic Center, PA

• Behavior Technician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.