Provider Demographics
NPI:1821828567
Name:ACUNA, REBECCA LYNN (RBT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:ACUNA
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 1:5816 ASHLEYANNE CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1613
Mailing Address - Country:US
Mailing Address - Phone:801-518-1428
Mailing Address - Fax:
Practice Address - Street 1:5816 ASHLEYANNE CIR STE 400
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1613
Practice Address - Country:US
Practice Address - Phone:801-518-1428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-367361106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician