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Individual

TATIANA ACOSTA LONGORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2117 W PALMA CIR, WEST PALM BEACH, FL 33415-7413
(561) 509-4124
Mailing address
2117 W PALMA CIR, WEST PALM BEACH, FL 33415-7413
(561) 509-4124

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16172
FL
106S00000X
Behavior Technician
22241524
FL

Other

Enumeration date
12/19/2022
Last updated
07/02/2025
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