NPI 1063283778 · live from the CMS NPI Registry
Micaiah Cecilia Acosta
Behavior Analyst in San Bruno, CA. National Provider Identifier 1063283778, active.
NPI record
| NPI | 1063283778 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 901 Sneath Ln Ste 105, San Bruno, CA 94066 |
| Practice phone | 855-223-7123 |
| Mailing address | Po Box 33568, San Diego, CA 92163 |
| Enumerated | January 11, 2024 |
| Last updated | January 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.