Individual provider · NPI-1
Ivonne Andrea Acosta
Behavior Technician · Cary, NC
NPI number1962378554
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1962378554
- Entity type
- Individual (NPI-1)
- Name
- Ivonne Andrea Acosta
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2025
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NC | Yes |
Practice location
111 Mackenan DrCary, NC 27511-7903
Phone 919-371-2848
Mailing address
111 Mackenan DrCary, NC 27511-7903
Phone 919-371-2848
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