Individual
JOHN ROBERT GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
7727 PAINTER AVE, WHITTIER, CA 90602-2475
(800) 807-0305
Mailing address
7727 PAINTER AVE, WHITTIER, CA 90602-2475
(800) 807-0305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306110531
INNOVATIVE BEHAVIORAL THERAPIES
CA
Enumeration date
12/17/2019
Last updated
12/17/2019
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