Provider Demographics
NPI:1932980232
Name:NUNEZ, REBECCA MONSERRAT
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MONSERRAT
Last Name:NUNEZ
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 1:825 ANDRADE AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-2533
Mailing Address - Country:US
Mailing Address - Phone:760-235-5064
Mailing Address - Fax:
Practice Address - Street 1:825 ANDRADE AVE APT 19
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-2533
Practice Address - Country:US
Practice Address - Phone:760-235-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst