Provider Demographics
NPI:1578355046
Name:AGUILAR FUNES, SCARLETH SUGEY
Entity type:Individual
Prefix:
First Name:SCARLETH
Middle Name:SUGEY
Last Name:AGUILAR FUNES
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 1:1368 REEVE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-3876
Mailing Address - Country:US
Mailing Address - Phone:650-933-8398
Mailing Address - Fax:
Practice Address - Street 1:1368 REEVE ST APT 6
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3876
Practice Address - Country:US
Practice Address - Phone:650-933-8398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician