Individual provider Active NPI

Maydara Cabrera

  • Behavior Analyst
  • Port Charlotte, FL
National Provider Identifier
1649804691
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68418 Issued in FL
Practice address
1777 Tamiami TRL Ste 303-13
Port Charlotte, FL 33948-4128
Phone
(786) 603-9214
Fax
(941) 336-4226
NPI assigned
Feb 28, 2020
Reactivated
Dec 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-113231 FL
Behavior Analyst 103K00000X 1-23-68418 FL Primary

Addresses

Primary practice location

1777 Tamiami TRL Ste 303-13
Port Charlotte, FL 33948-4128

Mailing address

1012 NE 34TH Ter
Cape Coral, FL 33909-6423
Phone (786) 603-9214

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

State licenses

LicenseStateTypeSpecialty
RBT-20-113231FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Behavior Therapy LLC Behavior Analyst CurrentSince Oct 20, 2024 Accepting new patients

Locations

1777 Tamiami Trl
Ste 303-13
Port Charlotte, FL 33948
Phone (786) 603-9214

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1649804691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 NE 34TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096423",
            "telephone_number": "786-603-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 TAMIAMI TRL STE 303-13",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484128",
            "telephone_number": "786-603-9214",
            "fax_number": "941-336-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "MAYDARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "deactivation_date": "2025-11-11",
        "reactivation_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-113231",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-68418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.