Provider Demographics
NPI:1396580692
Name:DE ARMAS ACOSTA, NATDEILYS
Entity type:Individual
Prefix:
First Name:NATDEILYS
Middle Name:
Last Name:DE ARMAS 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 1:1600 SW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-6124
Mailing Address - Country:US
Mailing Address - Phone:306-890-1793
Mailing Address - Fax:
Practice Address - Street 1:1600 SW 3RD AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-6124
Practice Address - Country:US
Practice Address - Phone:306-890-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-355064106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician