Provider Demographics
NPI:1821653742
Name:GARCIA, TERI ROBIN
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:ROBIN
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 1:39891 MILLBROOK WAY UNIT B
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7365
Mailing Address - Country:US
Mailing Address - Phone:619-922-8374
Mailing Address - Fax:
Practice Address - Street 1:3939 13TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3505
Practice Address - Country:US
Practice Address - Phone:951-826-6480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician