Individual
HEATHER L ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3905 W 18TH ST, YUMA, AZ 85364-4932
(928) 257-2625
Mailing address
533 E SENECA ST, TUCSON, AZ 85705-8941
(480) 616-5852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165491
AZ
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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