Acosta, Ana Georgina

Acosta, Ana Georgina is an individual health care provider with primary practice located at 912 Ne Kelly Ave # 100C , Gresham OR 97030-5629. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Acosta, Ana Georgina can be contacted via phone (503) 912-5502.

Contact Information

Primary practice address
912 Ne Kelly Ave # 100C Gresham OR 97030-5629
Phone: (503) 912-5502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1992338677
LBN Legal business name Acosta, Ana Georgina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Feb 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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