IndividualActive
Audra Costa
NPI 1265284681 · Behavior Technician · Goose Creek, SC
Provider details
- NPI number
- 1265284681
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
109 Chaste Tree Cir
Goose Creek, SC 29445-7371
Phone: (401) 559-7256
Approximate (ZIP-level) locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2024-04-02
- Certified
- 2024-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.