Heather L Acosta, RBT
Individual provider Active NPI Behavior Technician · Yuma, AZ
NPI 1336723584 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1336723584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-165491 (AZ)
- Practice address
- 3905 W 18TH St
Yuma, AZ 85364-4932 - Phone
- (928) 257-2625
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| RBT-21-165491 | AZ | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Behavior Consulting | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-165491 | AZ | Yes |
Addresses
Primary practice location
3905 W 18TH St
Yuma, AZ 85364-4932
Mailing address
533 E Seneca St
Tucson, AZ 85705-8941
Phone (480) 616-5852
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. 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.