Provider Demographics
NPI:1780485656
Name:ACOSTA LOPEZ, DANIEL ABRAHAM (RBT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ABRAHAM
Last Name:ACOSTA LOPEZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14321 SW 268TH ST APT 208
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7550
Mailing Address - Country:US
Mailing Address - Phone:786-641-4355
Mailing Address - Fax:
Practice Address - Street 1:14321 SW 268TH ST APT 208
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7550
Practice Address - Country:US
Practice Address - Phone:786-641-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-415859106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician