Healthcare Provider Details

I. General information

NPI: 1629940549
Provider Name (Legal Business Name): ALINA CUEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FELIX ST APT 1
SANTA CRUZ CA
95060-4835
US

IV. Provider business mailing address

105 FELIX ST APT 1
SANTA CRUZ CA
95060-4835
US

V. Phone/Fax

Practice location:
  • Phone: 831-295-9096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number106S00000X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: