Individual
IVAN CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 CORPORATE PL, MONTEREY PARK, CA 91754-7661
(800) 540-4000
Mailing address
2550 N HOLLYWOOD WAY STE 102, BURBANK, CA 91505-5031
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
04/30/2025
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