Provider Demographics
NPI:1750992897
Name:DEL RIO ACOSTA, ERIANNY (RBT)
Entity type:Individual
Prefix:
First Name:ERIANNY
Middle Name:
Last Name:DEL RIO ACOSTA
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 1:4401 19TH PL SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-6405
Mailing Address - Country:US
Mailing Address - Phone:239-234-8399
Mailing Address - Fax:
Practice Address - Street 1:3333 RENAISSANCE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-7007
Practice Address - Country:US
Practice Address - Phone:561-529-0899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-130629106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician