Abigail Acosta
Individual provider Active NPI Behavior Technician · Miami, FL
NPI 1407544778 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1407544778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17801 NW 2ND Ave
Suite 240
Miami, FL 33169 - Phone
- (754) 235-2701
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Support Services | Current |
Accepting new patients |
Locations
17801 NW 2nd Ave
Ste 240
Miami, FL 33169
Phone (754) 235-2701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
17801 NW 2ND Ave
Suite 240
Miami, FL 33169
Mailing address
17211 NW 57TH Ave
Miami Gardens, FL 33055-3924
Phone (786) 527-4789
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 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.