Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003375742 |
---|---|
Provider Name | Amy Cuevas |
First Address | Redwood City, CA 94063-3355 |
Second Address | San Bruno, CA 94066-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2019 |
Last Update Date | 20/03/2019 |