Provider Demographics
NPI:1245123447
Name:AGUIN CUN, EVELYN YAZMIN
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:YAZMIN
Last Name:AGUIN CUN
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 1:411A CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-2612
Mailing Address - Country:US
Mailing Address - Phone:201-903-5440
Mailing Address - Fax:
Practice Address - Street 1:411 CENTER ST # A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2612
Practice Address - Country:US
Practice Address - Phone:201-903-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst