Ryan Acosta-Holseberg
Individual provider Active NPI Behavior Technician · Gilbert, AZ
NPI 1821683764 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1821683764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460 - Phone
- (303) 989-8169
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460
Mailing address
1166 S Gilbert Rd
Suite 106
Gilbert, AZ 85296-3460
Other providers in Gilbert, AZ
- Aces 2020, LLC
- Fidel A Acevedo-Echevarria
- Akuteh Joy Achang
- Veronica Acker
- Julia Ackerman
- Christina Desiree Acosta
- Thomas Rooth Acott
- Action Health LLC
- Active Healing Psychiatric Services LLC
- Acts of Kidness Pediatrics PLLC
All providers in Gilbert, AZ · Behavior Technician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 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.