NPI 1629566062 · live from the CMS NPI Registry
Kassandra Monet Acosta
Behavior Analyst in Irvine, CA. National Provider Identifier 1629566062, active.
NPI record
| NPI | 1629566062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 106 Discovery, Irvine, CA 92618 |
| Practice phone | 949-203-8872 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | May 1, 2018 |
| Last updated | May 1, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.