Jennifer Acosta Lopez
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1932815818
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1932815818
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Acosta Lopez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8001 Sw 36th St Ste 9Davie, FL 33328-1915
Phone 954-577-7780
Mailing address
685 W 80th StHialeah, FL 33014-4161
Phone 786-916-9575
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