Individual
LORI-ANN DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1083
(954) 779-2316
Mailing address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1083
(954) 779-2316
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115462700
—
FL
Enumeration date
12/08/2017
Last updated
12/12/2022
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