Individual
ASHLEY NICOLE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12740 BANDERA RD STE 200, HELOTES, TX 78023-4328
(210) 321-9275
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00016031
TX
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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