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NPI Code Detail

MEDICARE: THABATHA ACOSTA SORIANO BCBA

MEDICARE:   THABATHA  ACOSTA SORIANO  BCBA
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 Analyst1-22-58834FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508381146
Entity Type Code : Individual
Provider Name (Legal Business Name) : THABATHA ACOSTA SORIANO BCBA
Provider Business Mailing Address
First Line : 1000 BRICKELL PLZ UNIT 2614
Second Line :
City : MIAMI
State : FL
Zip : 33131-3848
Country : US
Telephone Number : 786-212-8679
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BRICKELL PLZ UNIT 2614
Second Line :
City : MIAMI
State : FL
Zip : 33131-3848
Country : US
Telephone Number : 786-212-8679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2017
Last Update Date : 12/30/2024

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Directions to “ THABATHA ACOSTA SORIANO BCBA” Practice Location

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