Provider Demographics
NPI:1548054927
Name:CABARRABANG, STANLEY JACOB
Entity type:Individual
Prefix:
First Name:STANLEY
Middle Name:JACOB
Last Name:CABARRABANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 BRENTWOOD BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5660
Mailing Address - Country:US
Mailing Address - Phone:925-322-2058
Mailing Address - Fax:
Practice Address - Street 1:8650 BRENTWOOD BLVD STE G
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5660
Practice Address - Country:US
Practice Address - Phone:925-322-2058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician