Laura Acevedo
Individual provider Active NPI Behavior Technician · Tustin, CA
NPI 1174305437 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1174305437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3002 Dow Ave
Tustin, CA 92780-7233 - Phone
- (657) 294-5113
- NPI assigned
- Oct 19, 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
3002 Dow Ave
Tustin, CA 92780-7233
Mailing address
3002 Dow Ave
Tustin, CA 92780-7233
Phone (657) 294-5113
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- Christine Abundo
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- Accupath Diagnostic Laboratories, Inc
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- Anthony Acierno
- Acorn Telemat Nursing, Apc
- Audrey Acosta
- Luisa Acosta
- Active Sports Psychology, Apc
All providers in Tustin, 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 Oct 19, 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.