Healthcare Provider Details

I. General information

NPI: 1245037696
Provider Name (Legal Business Name): DARLYN J CUYUCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2892 W 7TH ST APT 110
LOS ANGELES CA
90005-4206
US

IV. Provider business mailing address

2892 W 7TH ST APT 110
LOS ANGELES CA
90005-4206
US

V. Phone/Fax

Practice location:
  • Phone: 323-767-4630
  • Fax:
Mailing address:
  • Phone: 323-767-4630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: