MEDICARE: TAIMY GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-85647	FL
2	106S00000X	Behavior Technician	RBT-22-231126	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518677053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAIMY GARCIA

Provider Business Mailing Address
First Line	:	7208 BRANCHWOOD CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2024
Country	:	US
Telephone Number	:	813-279-4127
Fax Number	:

Provider Business Practice Location Address
First Line	:	5051 MEMORIAL HWY UNIT B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7355
Country	:	US
Telephone Number	:	813-290-0779
Fax Number	:	786-558-4097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	11/11/2025

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Directions to “ TAIMY GARCIA ” Practice Location

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