Enibey Acosta
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1497366108
StatusActive
Last updated in NPPESAug 19, 2020
Details
- NPI
- 1497366108
- Entity type
- Individual (NPI-1)
- Name
- Enibey Acosta
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2020
- Certification date
- Aug 19, 2020
- Last updated
- Aug 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4688 Ontario Mills PkwyOntario, CA 91764-5104
Phone 714-867-4657
Mailing address
4688 Ontario Mills PkwyOntario, CA 91764-5104
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