Provider Demographics
NPI:1750923231
Name:GARZA, CATHERINE MARY (BCBA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:GARZA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2800 E WHITESTONE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7275
Mailing Address - Country:US
Mailing Address - Phone:512-986-7625
Mailing Address - Fax:281-254-7897
Practice Address - Street 1:2205 S BAGDAD ROAD
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641
Practice Address - Country:US
Practice Address - Phone:512-986-7625
Practice Address - Fax:281-254-7897
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
1-19-38430103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-19-38430OtherBCBA