Healthcare Provider Details

I. General information

NPI: 1780472225
Provider Name (Legal Business Name): EMILY AMBER CUENCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 05/13/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 W BUS 83
HARLINGEN TX
78552-3521
US

IV. Provider business mailing address

5116 PFC PEDRO MARTINEZ RD
MERCEDES TX
78570-3968
US

V. Phone/Fax

Practice location:
  • Phone: 956-230-5135
  • Fax:
Mailing address:
  • Phone: 956-246-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: