Healthcare Provider Details

I. General information

NPI: 1467924266
Provider Name (Legal Business Name): AUBREE GARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N K ST
TULARE CA
93274-4005
US

IV. Provider business mailing address

201 N K ST
TULARE CA
93274-4005
US

V. Phone/Fax

Practice location:
  • Phone: 559-687-0929
  • Fax:
Mailing address:
  • Phone: 559-687-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: