Provider Demographics
NPI:1174039291
Name:GARCIA, APRIL (MA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ABRIL
Other - Middle Name:A
Other - Last Name:GARCIA DE GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:2631 W FELICIDAD CIR APT C
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-3012
Mailing Address - Country:US
Mailing Address - Phone:714-414-7207
Mailing Address - Fax:
Practice Address - Street 1:8112 PAWTUCKET DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-6734
Practice Address - Country:US
Practice Address - Phone:714-552-1317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARBT-16-26134106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst