Kierra A Acosta
Individual provider Active NPI Behavior Technician · Fort Wayne, IN
NPI 1891582656 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1891582656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 10827 Kathy Dr
Fort Wayne, IN 46835-9763 - Phone
- (260) 615-0530
- Fax
- (855) 930-3656
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| Behavior Analysis Supervisors LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
10827 Kathy Dr
Fort Wayne, IN 46835-9763
Mailing address
10827 Kathy Dr
Fort Wayne, IN 46835-9763
Other providers in Fort Wayne, IN
- Acitve Day in, Inc.
- Herbert K.J. Acker
- Stefania Ackermann Villanueva
- Rebeca G Ackermann
- Denise Calixta Acosta
- Acquaro Medical Practice, PC
- Dominick Acquaro
- Dominick Joseph Acquaro
- Gabrielle Paloma Acquaro
- Acss, LLC
All providers in Fort Wayne, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. 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.