Mariana Guadalupe Acosta Rigual, BCABA

Individual provider Active NPI Assistant Behavior Analyst · Homestead, FL

NPI 1013688027 · NPPES record last updated Sep 21, 2024

Key facts

NPI
1013688027
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
License
0-22-14122 (FL)
Practice address
1605 SE 20TH Ter
Homestead, FL 33035-1978
Phone
(786) 620-3051
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

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-19-106360FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X RBT-19-106360 FL
Assistant Behavior Analyst 106E00000X 0-22-14122 FL Yes

Addresses

Primary practice location

1605 SE 20TH Ter
Homestead, FL 33035-1978

Mailing address

1605 SE 20TH Ter
Homestead, FL 33035-1978
Phone (786) 620-3051

Other providers in Homestead, FL

All providers in Homestead, FL · Assistant Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.