Daniela Acosta Utra

Individual provider Active NPI Behavior Technician · Lake Worth, FL

NPI 1003609736 · NPPES record last updated May 26, 2025

Key facts

NPI
1003609736
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-435532 (FL)
Practice address
2904 Vassallo Ave
Lake Worth, FL 33461-3747
Phone
(561) 821-1696
NPI assigned
May 26, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-435532FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-435532 FL Yes

Addresses

Primary practice location

2904 Vassallo Ave
Lake Worth, FL 33461-3747

Mailing address

2904 Vassallo Ave
Lake Worth, FL 33461-3747
Phone (561) 821-1696

Other providers in Lake Worth, FL

All providers in Lake Worth, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.