Provider Demographics
NPI:1336994839
Name:GARCIA, MARIBELLE (RBT)
Entity Type:Individual
Prefix:
First Name:MARIBELLE
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 1:12503 W SAINT MORITZ LN
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-3095
Mailing Address - Country:US
Mailing Address - Phone:480-796-0197
Mailing Address - Fax:
Practice Address - Street 1:12503 W SAINT MORITZ LN
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335-3095
Practice Address - Country:US
Practice Address - Phone:480-796-0197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-23-277563106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician