Provider Demographics
NPI:1548067861
Name:CERVANTES, AREYANA
Entity type:Individual
Prefix:
First Name:AREYANA
Middle Name:
Last Name:CERVANTES
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 1:4719 W GARDEN SPRINGS RD APT E202
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-4873
Mailing Address - Country:US
Mailing Address - Phone:509-831-9526
Mailing Address - Fax:
Practice Address - Street 1:4719 W GARDEN SPRINGS RD APT E202
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-4873
Practice Address - Country:US
Practice Address - Phone:509-831-9526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician