Individual
ELIZABETH ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5604 HARMONY AVE, LAS VEGAS, NV 89107-2625
(702) 910-0300
Mailing address
5604 HARMONY AVE, LAS VEGAS, NV 89107-2625
(702) 910-0300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747P1801X
—
NV
Enumeration date
06/07/2019
Last updated
11/06/2020
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