Healthcare Provider Details

I. General information

NPI: 1942728274
Provider Name (Legal Business Name): ALISSA MARIE CUASON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date: 08/27/2025
Reactivation Date: 10/02/2025

III. Provider practice location address

795 FOLSOM ST FL 1
SAN FRANCISCO CA
94107-4226
US

IV. Provider business mailing address

795 FOLSOM ST FL 1
SAN FRANCISCO CA
94107-4226
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 855-832-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: