Individual provider · NPI-1

Bianca Acosta, BA, Psychology

Technician, Other · San Diego, CA

NPI number1225554587
StatusActive
Last updated in NPPESAug 18, 2017

Details

NPI
1225554587
Entity type
Individual (NPI-1)
Name
Bianca Acosta
Credential
BA, Psychology
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2017
Last updated
Aug 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

563 Balboa Ave. #521
San Diego, CA 92111

Phone 855-832-6727

Mailing address

4575 Se Dixie Hwy
Stuart, FL 34997-6826

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Other Technician, Other providers in San Diego, CA