Individual
DAIRY ACOSTA PAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15542 SW 163RD ST, MIAMI, FL 33187-5230
(305) 972-5784
Mailing address
15542 SW 163RD ST, MIAMI, FL 33187-5230
(305) 972-5784
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020025400
—
FL
Enumeration date
05/11/2018
Last updated
11/16/2022
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