Healthcare Provider Details

I. General information

NPI: 1811347909
Provider Name (Legal Business Name): MS. PATRICIA ESPINOZA ACOSTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9415 SW 72ND ST STE 131
MIAMI FL
33173-5492
US

IV. Provider business mailing address

9415 SW 72ND ST STE 131
MIAMI FL
33173-5492
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-6448
  • Fax:
Mailing address:
  • Phone: 305-662-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-13221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: