Provider Demographics
NPI:1225570666
Name:GARCIA CHEONG, MAGDA N
Entity Type:Individual
Prefix:
First Name:MAGDA
Middle Name:N
Last Name:GARCIA CHEONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18254 SW 152ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-7806
Mailing Address - Country:US
Mailing Address - Phone:786-757-1578
Mailing Address - Fax:305-901-1797
Practice Address - Street 1:18254 SW 152ND PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-7806
Practice Address - Country:US
Practice Address - Phone:786-757-1578
Practice Address - Fax:305-901-1797
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician