Cleidy Acosta

Individual provider Active NPI Behavior Technician · Weston, FL

NPI 1093323628 · NPPES record last updated Jul 20, 2020

Key facts

NPI
1093323628
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-120494 (FL)
Practice address
1495 N Park Dr
Weston, FL 33326-3215
Phone
(954) 356-2878
NPI assigned
Jul 20, 2020
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-20-120494FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-120494 FL Yes

Addresses

Primary practice location

1495 N Park Dr
Weston, FL 33326-3215

Mailing address

175 E 33Rd St Apt 1
Hialeah, FL 33013-3237
Phone (786) 830-1155

Other providers in Weston, FL

All providers in Weston, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.