Provider Demographics
NPI:1457152159
Name:GARCIA, CINTHIA ISABEL
Entity type:Individual
Prefix:
First Name:CINTHIA
Middle Name:ISABEL
Last Name:GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 SOUTHSIDE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-9631
Mailing Address - Country:US
Mailing Address - Phone:928-304-8929
Mailing Address - Fax:
Practice Address - Street 1:3235 SOUTHSIDE RD APT 1
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-9631
Practice Address - Country:US
Practice Address - Phone:928-304-8929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician