Mia Acosta
Individual provider Active NPI Behavior Technician · Marysville, CA
NPI 1053915512 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1053915512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2065 Riverwood Dr
Marysville, CA 95901 - Phone
- (916) 667-1038
- NPI assigned
- Nov 25, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2065 Riverwood Dr
Marysville, CA 95901
Mailing address
990 Klamath LN Ste 20
Yuba City, CA 95993-8979
Phone (916) 729-3098
Other providers in Marysville, CA
- Maria Tagle Abordo
- Shairah Myrrh Dajao Acojedo
- Jose Javier Acosta
- Rose Acosta
- Krystine Nichole Adams
- Bamidele A Adetunji
- Scott Adrian
- Advanced Cardiovascular and Thoracic Surgical Associates Inc
All providers in Marysville, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. 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.