Individual
MR. ANDREW DANIEL CABANILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2741 S 8TH AVE STE C, YUMA, AZ 85364-7154
(928) 782-1338
Mailing address
10362 E 39TH PL, YUMA, AZ 85365-7234
(928) 919-3983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-77750
AZ
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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