Provider Demographics
NPI:1316407760
Name:VINUYA, ADELYN
Entity Type:Individual
Prefix:
First Name:ADELYN
Middle Name:
Last Name:VINUYA
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 1:10153 CAMINO RUIZ APT 19
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6403
Mailing Address - Country:US
Mailing Address - Phone:619-317-5407
Mailing Address - Fax:
Practice Address - Street 1:5858 DRYDEN PL STE 230
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-6518
Practice Address - Country:US
Practice Address - Phone:877-992-2224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst