Individual
ISMAIL CABARAVDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 E HOSPITALITY LN STE 400, SAN BERNARDINO, CA 92408-3545
(909) 677-4000
Mailing address
560 E HOSPITALITY LN STE 400, SAN BERNARDINO, CA 92408-3545
(909) 677-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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