Provider Demographics
NPI:1922722651
Name:GARCIA, ANGIE (RBT)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 RAMBLEWOOD DR APT 312
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7036
Mailing Address - Country:US
Mailing Address - Phone:754-423-1066
Mailing Address - Fax:
Practice Address - Street 1:9155 RAMBLEWOOD DR APT 312
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7036
Practice Address - Country:US
Practice Address - Phone:754-423-1066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician