Individual
MAYURI PEREZ ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 DAIL RD, LAKELAND, FL 33813-2007
(619) 548-9967
Mailing address
4612 DAIL RD, LAKELAND, FL 33813-2007
(619) 548-9967
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16218
FL
Other
Enumeration date
01/11/2021
Last updated
06/22/2025
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