Provider Demographics
NPI:1508472754
Name:GARCIA GARCIA, ANAIBY L
Entity type:Individual
Prefix:MS
First Name:ANAIBY
Middle Name:L
Last Name:GARCIA 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 1:260 KING ST UNIT 1101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-6428
Mailing Address - Country:US
Mailing Address - Phone:786-399-2651
Mailing Address - Fax:
Practice Address - Street 1:260 KING ST UNIT 1101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-6428
Practice Address - Country:US
Practice Address - Phone:786-399-2651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12261405103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst