Jessica Acosta

Individual provider Active NPI Behavior Technician · Coral Springs, FL

NPI 1245926534 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1245926534
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-22-238058 (FL)
Practice address
12500 W Atlantic Blvd
Coral Springs, FL 33071-4085
Phone
(754) 812-8700
NPI assigned
Apr 11, 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

State licenses

LicenseStateTypeSpecialty
RBT-22-238058FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-238058 FL Yes

Addresses

Primary practice location

12500 W Atlantic Blvd
Coral Springs, FL 33071-4085

Mailing address

55 NE 26TH CT
Wilton Manors, FL 33334-1026
Phone (786) 731-1064

Other providers in Coral Springs, FL

All providers in Coral Springs, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.