Provider Demographics
NPI:1063220382
Name:ACOSTA, CLAUDIA MAGALY
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MAGALY
Last Name:ACOSTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 E WILLIAMSBURG MNR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1217
Mailing Address - Country:US
Mailing Address - Phone:817-300-1554
Mailing Address - Fax:
Practice Address - Street 1:209 BILLINGS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-2474
Practice Address - Country:US
Practice Address - Phone:817-592-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-333943106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician