Andy Luis Acosta I
Individual provider Active NPI Behavior Technician · Miami Gardens, FL
NPI 1033940671 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1033940671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17511 NW 49TH Ave
Miami Gardens, FL 33055-3619 - Phone
- (305) 589-1778
- NPI assigned
- Aug 13, 2024
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | ||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
17511 NW 49TH Ave
Miami Gardens, FL 33055-3619
Mailing address
17511 NW 49TH Ave
Miami Gardens, FL 33055-3619
Phone (305) 589-1778
Other providers in Miami Gardens, FL
- Stephany Acevedo Rodriguez
- Vasthi Marlee Achille
- Lennis Achon Gonzalez
- Lilismary Acosta Diaz
- Zulema Acosta Mora
- Jennys Acosta
- Jennia Adames
- Maritza Adan
- Comfort Omobola Adewumi
- Advance Therapy 4 You, Inc
All providers in Miami Gardens, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. 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.