Provider Demographics
NPI:1538038641
Name:CUEVAS, ARIANNA MARIE
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:MARIE
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 RECHE CANYON RD APT 705
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-9762
Mailing Address - Country:US
Mailing Address - Phone:951-662-0364
Mailing Address - Fax:
Practice Address - Street 1:1333 RECHE CANYON RD APT 705
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-9762
Practice Address - Country:US
Practice Address - Phone:951-662-0364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-05
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAW9558101103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty