Provider Demographics
NPI:1689104440
Name:RUVALCABA, ARIANA (ACSW)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:RUVALCABA
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:
Other - Last Name:RUVALCABA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6601 STEPHENS RANCH RD
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-1146
Mailing Address - Country:US
Mailing Address - Phone:909-392-2048
Mailing Address - Fax:
Practice Address - Street 1:6601 STEPHENS RANCH RD
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-1146
Practice Address - Country:US
Practice Address - Phone:909-392-2048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77547104100000X, 101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator