Acosta Pages, Dairy

Acosta Pages, Dairy is an sole proprietor health care provider with primary practice located at 15542 Sw 163Rd St , Miami FL 33187-5230. 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 Pages, Dairy can be contacted via phone (305) 972-5784.

Contact Information

Primary practice address
15542 Sw 163Rd St Miami FL 33187-5230
Phone: (305) 972-5784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-54311 Florida

Profile Details

NPI number 1932699253
LBN Legal business name Acosta Pages, Dairy
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2018
Last updated Nov 16th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932699253 NPPES
Florida MEDICAID 020025400

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