Healthcare Provider Details

I. General information

NPI: 1801048517
Provider Name (Legal Business Name): MONICA DARLENE CUEN-RANDALL M.S./ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MONICA DARLENE CUEN

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 06/19/2021
Certification Date: 06/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TOWN AND COUNTRY ROAD SUITE 1250 - #2146
ORANGE CA
92868
US

IV. Provider business mailing address

1100 TOWN AND COUNTRY ROAD SUITE 1250 - #2146
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 562-213-8578
  • Fax:
Mailing address:
  • Phone: 562-213-8578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: