Acosta, Elizabeth
Acosta, Elizabeth is an sole proprietor health care provider with primary practice located at 5604 Harmony Ave , Las Vegas NV 89107-2625. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Acosta, Elizabeth can be contacted via phone (702) 910-0300.Contact Information
Primary practice address
5604 Harmony Ave
Las Vegas NV 89107-2625
Phone: (702) 910-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1639738289 |
|---|---|
| LBN Legal business name | Acosta, Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2019 |
| Last updated | Nov 6th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639738289 | NPPES |
| Nevada | MEDICAID | 3747P1801X |
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