Provider Demographics
NPI:1720471667
Name:GARKAVCHENKO, OXANA (LMHC, BCBA, CBHCMS)
Entity Type:Individual
Prefix:MISS
First Name:OXANA
Middle Name:
Last Name:GARKAVCHENKO
Suffix:
Gender:F
Credentials:LMHC, BCBA, CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 MORRIS AVE LOT 6-4
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-3133
Mailing Address - Country:US
Mailing Address - Phone:786-486-6766
Mailing Address - Fax:
Practice Address - Street 1:999 MORRIS AVE LOT 6-4
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3133
Practice Address - Country:US
Practice Address - Phone:786-486-6766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171M00000X
FLLMHC 13753101YM0800X
BCBA-1-19-37180103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health