Individual
ADDYS M ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 STATE AVE, LEHIGH ACRES, FL 33972-7085
(917) 328-0316
Mailing address
1604 STATE AVE, LEHIGH ACRES, FL 33972-7085
(917) 328-0316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-424152
FL
Other
Enumeration date
09/29/2025
Last updated
10/24/2025
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