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NPI Code Detail

MEDICARE: JESSICA ESPINOSA ACOSTA

MEDICARE:   JESSICA  ESPINOSA 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1881460244
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ESPINOSA ACOSTA
Provider Business Mailing Address
First Line : 2495 RANDALL BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34120-3573
Country : US
Telephone Number : 239-758-3729
Fax Number :
Provider Business Practice Location Address
First Line : 2495 RANDALL BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34120-3573
Country : US
Telephone Number : 239-758-3729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2023
Last Update Date : 11/28/2023

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Directions to “ JESSICA ESPINOSA ACOSTA ” Practice Location

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