Most Relevant Information
Provider Data
| NPI Number: | 1003347600 |
| Provider Name: | VIANCA ACOSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2017 |
| Last Updated: | 03/24/2017 |
Provider Practice Location
329 E 149TH ST
4TH FLOOR
BRONX
NY
104515601
Practice Location Phone/Fax
| Phone: | 7187692698 |
| Fax: | 3474028192 |
Provider Mailing Location
329 E 149TH ST
4TH FLOOR
BRONX
NY
104515601
Provider Mailing Phone/Fax
| Phone: | 7187692698 |
| Fax: | 3474028192 |