Healthcare Provider Details

I. General information

NPI: 1609343144
Provider Name (Legal Business Name): RACHEL ACOSTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9977 SW 153RD ST
MIAMI FL
33157-1677
US

IV. Provider business mailing address

9977 SW 153RD ST
MIAMI FL
33157-1677
US

V. Phone/Fax

Practice location:
  • Phone: 786-930-2167
  • Fax:
Mailing address:
  • Phone: 786-930-2167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2834973
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: