Healthcare Provider Details

I. General information

NPI: 1831669829
Provider Name (Legal Business Name): ELEUTERIA NIEVES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 ORCHARD DR
PERRIS CA
92571-2672
US

IV. Provider business mailing address

2024 ORCHARD DR
PERRIS CA
92571-2672
US

V. Phone/Fax

Practice location:
  • Phone: 951-956-4632
  • Fax:
Mailing address:
  • Phone: 951-956-4632
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: