Provider Demographics
NPI:1659049336
Name:GARCIA RAMIREZ, LIZBETH (BCBA)
Entity Type:Individual
Prefix:
First Name:LIZBETH
Middle Name:
Last Name:GARCIA RAMIREZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16600 SHERMAN WAY STE 105
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3876
Mailing Address - Country:US
Mailing Address - Phone:818-991-7722
Mailing Address - Fax:818-991-7722
Practice Address - Street 1:1212 W AVENUE J STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2940
Practice Address - Country:US
Practice Address - Phone:661-220-5508
Practice Address - Fax:818-991-7722
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA12152913103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst