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Individual

INGRID ACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1225 GARDEN ISLE CT APT A203, ORLANDO, FL 32824
(407) 990-2847
Mailing address
1225 GARDEN ISLE CT APT A203, ORLANDO, FL 32824-6218
(407) 990-2847

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
FL
2355S0801X
Speech-Language Assistant
Primary
SI2530
FL
2355S0801X
Speech-Language Assistant

Other

Enumeration date
10/16/2013
Last updated
07/17/2018
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