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NPI Code Detail

MEDICARE: JESSICA J. GARCIA

MEDICARE: JESSICA J. 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
1106S00000XBehavior TechnicianAZ

General Provider Information

NPI Number : 1629923826
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA J. GARCIA
Provider Business Mailing Address
First Line : 15151 W CENTERRA DR S
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-2956
Country : US
Telephone Number : 623-772-4800
Fax Number : 623-772-4820
Provider Business Practice Location Address
First Line : 15151 W CENTERRA DR S
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-2956
Country : US
Telephone Number : 623-772-4800
Fax Number : 623-772-4820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ JESSICA J. GARCIA ” Practice Location

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