Provider Demographics
NPI:1518654185
Name:MISLEINY ACOSTA LLC
Entity Type:Organization
Organization Name:MISLEINY ACOSTA LLC
Other - Org Name:EARLY START ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISLEINY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:305-482-1271
Mailing Address - Street 1:8540 SW 133RD AVENUE RD APT 109
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8540 SW 133RD AVENUE RD APT 109
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4508
Practice Address - Country:US
Practice Address - Phone:786-488-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty