Victoria A Acosta

Individual provider Active NPI Behavior Technician · Fountain Valley, CA

NPI 1659964294 · NPPES record last updated Feb 15, 2021

Key facts

NPI
1659964294
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
17284 Newhope St Ste 212
Fountain Valley, CA 92708-8201
Phone
(833) 922-2669
Fax
(714) 592-4401
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts of ABA Past
since Feb 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

17284 Newhope St Ste 212
Fountain Valley, CA 92708-8201

Mailing address

17284 Newhope St Ste 212
Fountain Valley, CA 92708-8201
Phone (833) 922-2669

Other providers in Fountain Valley, CA

All providers in Fountain Valley, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.