Healthcare Provider Details

I. General information

NPI: 1649879156
Provider Name (Legal Business Name): MS. ALEGNA ACOSTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 NW 36TH AVE
CAPE CORAL FL
33993-7340
US

IV. Provider business mailing address

3262 W 70TH ST UNIT 102
HIALEAH FL
33018-7157
US

V. Phone/Fax

Practice location:
  • Phone: 954-393-7988
  • Fax:
Mailing address:
  • Phone: 954-393-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: