NPI 1790451268 · live from the CMS NPI Registry
Ivanna Samantha Acosta, MS
Behavior Analyst in Gardena, CA. National Provider Identifier 1790451268, active.
NPI record
| NPI | 1790451268 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1515 W 190th St Ste 300, Gardena, CA 90248 |
| Practice phone | 310-819-4523 |
| Enumerated | August 17, 2021 |
| Last updated | August 17, 2021 |
| 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.