Israel Acosta
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1750199469
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1750199469
- Entity type
- Individual (NPI-1)
- Name
- Israel Acosta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2024
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12465 Lewis St Ste 102Garden Grove, CA 92840-4658
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123
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All 2,260 Behavior Technician providers in Garden Grove · All 5,773 providers in Garden Grove
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