Healthcare Provider Details

I. General information

NPI: 1578963401
Provider Name (Legal Business Name): ROCIO BELEN CUEVAS M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20819 VIA VALENCIA DR
BOCA RATON FL
33433-1727
US

IV. Provider business mailing address

20819 VIA VALENCIA DR
BOCA RATON FL
33433-1727
US

V. Phone/Fax

Practice location:
  • Phone: 561-929-7749
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: