Individual
ETHAN DANIEL CABRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14180 W HEARN RD, SURPRISE, AZ 85379-8643
(623) 221-8425
Mailing address
14180 W HEARN RD, SURPRISE, AZ 85379-8643
(623) 221-8425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2026
Last updated
03/04/2026
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