Mya Maria Acosta
Individual provider Active NPI Behavior Technician · Killeen, TX
NPI 1174399893 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1174399893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB1021951 (TX)
- Practice address
- 2300 Clear Creek Rd Ste 103
Killeen, TX 76549-4985 - Phone
- (254) 768-2112
- NPI assigned
- Dec 4, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1021951 | TX | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1021951 | TX | Yes |
Addresses
Primary practice location
2300 Clear Creek Rd Ste 103
Killeen, TX 76549-4985
Mailing address
3313 Addison St
Killeen, TX 76542-6714
Phone (954) 235-3520
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 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.