Surujini Candace Acosta
Individual provider Active NPI Behavior Analyst · Laguna Hills, CA
NPI 1013615657 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1013615657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 24543 Los Alisos Blvd Apt 356
Laguna Hills, CA 92653-7210 - Phone
- (909) 560-9049
- NPI assigned
- Feb 22, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
24543 Los Alisos Blvd Apt 356
Laguna Hills, CA 92653-7210
Mailing address
24543 Los Alisos Blvd Apt 356
Laguna Hills, CA 92653-7210
Phone (909) 560-9049
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All providers in Laguna Hills, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.