Julissa Cuevas Cano
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1992491898 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1992491898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2630 W Rumble Rd
Modesto, CA 95350-0155 - Phone
- (209) 222-2378
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2630 W Rumble Rd
Modesto, CA 95350-0155
Mailing address
2630 W Rumble Rd
Modesto, CA 95350-0155
Other providers in Modesto, CA
- Ashli Jade Cuen
- Evette Cuenca
- Isabel Cuerrero Campos
- Cynthia Cueva Flores
- Giselle Cuevas Calderon
- Valerie Cuevas Martinez
- Abigail Cuevas
- Ana Cuevas
- Destiny Cuevas
- Esmeralda Cuevas
All providers in Modesto, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.