Enibey Acosta
Individual provider Active NPI Behavior Technician · Ontario, CA
NPI 1497366108 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1497366108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (714) 867-4657
- NPI assigned
- Aug 14, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Other providers in Ontario, CA
- Monique Acevedo
- Yasmin Acevedo
- Cristina Aceves
- Kazaria Ackerman
- Bryana Acosta
- Gabriella Acosta
- Jennifer Beatriz Acosta
- Rebekah Acosta
- Stephanie Jeanette Acosta
- Act Family Counseling Incorporated
All providers in Ontario, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. 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.