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General NPI Number Information
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NPI Number | 1669190906
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Entity Type | Individual
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Provider Name | ADRIANA HERNANDEZ ACOSTA RBT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 6801 LAKE WORTH RD STE 115
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City | GREENACRES
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State | FL
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Zip | 33467-2965
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Country | US
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Telephone | 561-283-7181
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Fax |
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Provider Business Mailing Address
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Address Line | 252 DAVIS RD
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City | PALM SPRINGS
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State | FL
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Zip | 33461-1903
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Country | US
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Telephone | 561-614-7812
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-178580
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License Number State | FL
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