NPI 1720708969 · live from the CMS NPI Registry
Nicole Paula Acosta
Behavior Analyst in Costa Mesa, CA. National Provider Identifier 1720708969, active.
NPI record
| NPI | 1720708969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3186 Airway Ave Ste A, Costa Mesa, CA 92626 |
| Practice phone | 714-881-0427 |
| Enumerated | August 29, 2022 |
| Last updated | August 29, 2022 |
| Sole proprietor | Yes |
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.