Provider Demographics
NPI:1396634697
Name:HORTA GARCIA, ENRIQUE (RBT)
Entity type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:
Last Name:HORTA GARCIA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:562 DRAWDY WAY
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-4324
Mailing Address - Country:US
Mailing Address - Phone:772-203-0662
Mailing Address - Fax:
Practice Address - Street 1:562 DRAWDY WAY
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-4324
Practice Address - Country:US
Practice Address - Phone:772-203-0662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-25-448714106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician