Acosta, Ivanna Samantha
Acosta, Ivanna Samantha is an individual health care provider with primary practice located at 1515 W 190Th St Ste 300 , Gardena CA 90248-4925. 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, Ivanna Samantha can be contacted via phone (310) 819-4523.Contact Information
Primary practice address
1515 W 190Th St Ste 300
Gardena CA 90248-4925
Phone: (310) 819-4523
Fax: (877) 394-6799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1790451268 |
|---|---|
| LBN Legal business name | Acosta, Ivanna Samantha |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2021 |
| Last updated | Aug 17th, 2021 - about 3 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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