Individual
GINA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4170 N 108TH AVE, PHOENIX, AZ 85037-5469
(480) 751-1957
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137389
AZ
Other
Enumeration date
12/09/2020
Last updated
06/22/2022
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