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NPI Code Detail

MEDICARE: STEPHANIE RODRIGUEZ-ACOSTA

MEDICARE: STEPHANIE RODRIGUEZ-ACOSTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst15BC00230200NJ

General Provider Information

NPI Number : 1033675269
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE RODRIGUEZ-ACOSTA
Provider Business Mailing Address
First Line : 175 BELGROVE DR
Second Line :
City : KEARNY
State : NJ
Zip : 07032-1507
Country : US
Telephone Number : 201-979-1336
Fax Number :
Provider Business Practice Location Address
First Line : 178 W VETERANS HWY
Second Line :
City : JACKSON
State : NJ
Zip : 08527-3410
Country : US
Telephone Number : 201-979-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2019
Last Update Date : 12/16/2025

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Directions to “ STEPHANIE RODRIGUEZ-ACOSTA ” Practice Location

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