Healthcare Provider Details

I. General information

NPI: 1700255080
Provider Name (Legal Business Name): YESENIA CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E SUNSET RD STE 24
LAS VEGAS NV
89120-3519
US

IV. Provider business mailing address

2700 E SUNSET RD STE 24
LAS VEGAS NV
89120-3519
US

V. Phone/Fax

Practice location:
  • Phone: 702-270-3219
  • Fax:
Mailing address:
  • Phone: 702-270-3219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: