Provider Demographics
NPI:1720960313
Name:ACOSTA, JHOVANA F
Entity type:Individual
Prefix:
First Name:JHOVANA
Middle Name:F
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:PO BOX 65162
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87193-5162
Mailing Address - Country:US
Mailing Address - Phone:505-785-2420
Mailing Address - Fax:
Practice Address - Street 1:6200 MONTANO PLAZA DR NW APT 111
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-5749
Practice Address - Country:US
Practice Address - Phone:505-785-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician