Individual provider · NPI-1

Amanda Isabel Acosta Rodriguez

Behavior Technician · West Palm Beach, FL

NPI number1124751375
StatusActive
Last updated in NPPESJul 6, 2022

Details

NPI
1124751375
Entity type
Individual (NPI-1)
Name
Amanda Isabel Acosta Rodriguez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 6, 2022
Certification date
Jul 6, 2022
Last updated
Jul 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-22-222993FLYes

Practice location

1490 S Military Trl Ste 7
West Palm Beach, FL 33415-9141

Phone 561-323-2552

Mailing address

2290 48th Dr N
West Palm Beach, FL 33417-3934

Phone 561-631-2713

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