Provider Demographics
NPI:1992976930
Name:CUEVAS, YOBANI
Entity type:Individual
Prefix:
First Name:YOBANI
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 S RILEY ST UNIT 108
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1332
Mailing Address - Country:US
Mailing Address - Phone:619-569-3305
Mailing Address - Fax:
Practice Address - Street 1:6355 S RILEY ST UNIT 108
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1332
Practice Address - Country:US
Practice Address - Phone:619-569-3305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor