NPI 1639836216 · live from the CMS NPI Registry
Ehulice De Jesus Acosta
Behavior Technician in Los Angeles, CA. National Provider Identifier 1639836216, active.
NPI record
| NPI | 1639836216 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Technician 106S00000X |
| Practice location | 4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010 |
| Practice phone | 888-428-3223 |
| Enumerated | November 18, 2021 |
| Last updated | April 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician | 106S00000X | — (CA) |
| Behavior Technician primary | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.