Individual
CYNTHIA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S 8TH ST STE B, BEAUMONT, TX 77701-4634
(409) 299-9460
Mailing address
6305 HIGHPOINT AVE, BEAUMONT, TX 77708-3651
(915) 799-8722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3215
TX
106S00000X
Behavior Technician
—
TX
Other
Enumeration date
01/23/2018
Last updated
01/19/2022
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