Individual
IVAN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 E MONROE AVE, BUCKEYE, AZ 85326-2706
(877) 809-5092
Mailing address
306 E MONROE AVE, BUCKEYE, AZ 85326-2706
(877) 809-5092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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