Provider Demographics
NPI:1447015953
Name:CUEVAS, MELISSSA M
Entity type:Individual
Prefix:
First Name:MELISSSA
Middle Name:M
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 1:1280 ASPEN CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5892
Mailing Address - Country:US
Mailing Address - Phone:831-265-2653
Mailing Address - Fax:
Practice Address - Street 1:1280 ASPEN CIR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5892
Practice Address - Country:US
Practice Address - Phone:831-265-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician