Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003336314 |
---|---|
Provider Name | Yaquelin Maria Acosta |
First Address | Miami Beach, FL 33141-1863 |
Second Address | Miami Beach, FL 33141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 27/06/2017 |