Angelica Jesus Acosta

Individual provider Active NPI Behavior Technician · Monrovia, CA

NPI 1407511223 · NPPES record last updated Nov 5, 2021

Key facts

NPI
1407511223
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone
(760) 992-3039
NPI assigned
Nov 5, 2021
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406

Mailing address

PO Box 5064
La Quinta, CA 92248-5064
Phone (760) 702-9794

Other providers in Monrovia, CA

All providers in Monrovia, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.