Individual
IVANA NICOLE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
1317 PINEHURST BLVD, KALAMAZOO, MI 49006-2420
(269) 425-1536
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001160
MI
Other
Enumeration date
04/02/2018
Last updated
03/10/2022
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