Destiny Alize Acosta
Behavior Technician in Lutz, FL. Individual provider (NPI-1).
NPI number1811716640
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1811716640
- Entity type
- Individual (NPI-1)
- Name
- Destiny Alize Acosta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2009 Osprey LnLutz, FL 33549-9374
Phone 813-814-2000
Mailing address
2009 Osprey LnLutz, FL 33549-9374
Phone 813-814-2000
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