Provider Demographics
NPI:1447827829
Name:QUINONEZ, ARIANNA KARINA
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:KARINA
Last Name:QUINONEZ
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 1:5252 BALBOA AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6939
Mailing Address - Country:US
Mailing Address - Phone:858-333-6856
Mailing Address - Fax:858-999-2014
Practice Address - Street 1:900 LANE AVE STE 126
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-3515
Practice Address - Country:US
Practice Address - Phone:858-333-6856
Practice Address - Fax:858-999-2014
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA149012106H00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician