Provider Demographics
NPI:1508518168
Name:GARCIA, ASHLEY BERNICE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BERNICE
Last Name:GARCIA
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 1:446 SLOAT ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-2856
Mailing Address - Country:US
Mailing Address - Phone:323-812-2932
Mailing Address - Fax:
Practice Address - Street 1:446 SLOAT ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2856
Practice Address - Country:US
Practice Address - Phone:323-812-2932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst