Provider Demographics
NPI:1235800384
Name:ACOSCHKIN, MARIA SOL (RBT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:SOL
Last Name:ACOSCHKIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2525
Mailing Address - Country:US
Mailing Address - Phone:305-316-0259
Mailing Address - Fax:
Practice Address - Street 1:1554 ORION LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-2327
Practice Address - Country:US
Practice Address - Phone:305-316-0259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-55919106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020875900Medicaid