Provider Demographics
NPI:1407378995
Name:GALARZA, MARIA CONSUELO
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CONSUELO
Last Name:GALARZA
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 1:3906 CHIP SHOT CT APT 923
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-3288
Mailing Address - Country:US
Mailing Address - Phone:321-287-8762
Mailing Address - Fax:
Practice Address - Street 1:3906 CHIP SHOT CT APT 923
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3288
Practice Address - Country:US
Practice Address - Phone:321-287-8762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst