Tarik Caballero Antonio Caballero

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT20118533 Issued in VA

Practice address

44933 George Washington Blvd Ste 115
Ashburn, VA 20147-6301

Phone

(844) 854-1116

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1649898446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44933 GEORGE WASHINGTON BLVD STE 115",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476301",
            "telephone_number": "844-854-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "TARIK CABALLERO",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT20118533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Nicole Bussell, COTA/L
• McCaul B Butcher, PT
• Kristyn Leigh Butler
• Court K Byrn, MD
• Ca Transportation LLC
• Inez Mae Cabral, DPT
• Sabrina N Caceres, OTR
• Heather Cade, FNP
• Samantha Calaluca, MA, LPC-R
• Jeffery Jared Camara, PT

• Behavior Technician in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.