Individual
ANA SOFIA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 VFW RD, LEESVILLE, LA 71446-6302
(917) 526-2384
Mailing address
408 LEFOI LN, LEESVILLE, LA 71446-5219
(512) 361-8236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290969
LA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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