Provider Demographics
NPI:1548051642
Name:INFANTE, CESAR ERNESTO
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:ERNESTO
Last Name:INFANTE
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 1:8649 A C SKINNER PKWY APT 1217
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7888
Mailing Address - Country:US
Mailing Address - Phone:904-405-3199
Mailing Address - Fax:
Practice Address - Street 1:8649 A C SKINNER PKWY APT 1217
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7888
Practice Address - Country:US
Practice Address - Phone:904-405-3199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-435104106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician