Provider Demographics
NPI:1578320347
Name:CERDA, ELIANA ZUNIGA
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:ZUNIGA
Last Name:CERDA
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 1:405 HARVEST TRL
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:SD
Mailing Address - Zip Code:57032-2728
Mailing Address - Country:US
Mailing Address - Phone:714-206-3625
Mailing Address - Fax:
Practice Address - Street 1:405 HARVEST TRL
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:SD
Practice Address - Zip Code:57032-2728
Practice Address - Country:US
Practice Address - Phone:714-206-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician