Individual provider · NPI-1

Tatiana Acosta Longoria

Assistant Behavior Analyst · West Palm Beach, FL

NPI number1295447670

StatusActive

Last updated in NPPESJul 2, 2025

Details

NPI: 1295447670
Entity type: Individual (NPI-1)
Name: Tatiana Acosta Longoria
Sex: Female
Sole proprietor: Yes
Enumeration date: Dec 19, 2022
Certification date: Jul 2, 2025
Last updated: Jul 2, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
106E00000X	Assistant Behavior Analyst	0-25-16172	FL	Yes
106S00000X	Behavior Technician	22241524	FL

Practice location

2117 W Palma Cir
West Palm Beach, FL 33415-7413

Phone 561-509-4124

Mailing address

2117 W Palma Cir
West Palm Beach, FL 33415-7413

Phone 561-509-4124

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