Individual provider · NPI-1
Ehulice De Jesus Acosta
Behavior Technician · Los Angeles, CA
NPI number1639836216
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1639836216
- Entity type
- Individual (NPI-1)
- Name
- Ehulice De Jesus Acosta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | CA |
Practice location
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
Other practice locations
15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Sherman Oaks, CA 91403-2231
Phone 800-465-3203 · Fax 800-465-3203
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