Healthcare Provider Details

I. General information

NPI: 1841905932
Provider Name (Legal Business Name): ESTEFANY GARCIA QASP-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 MARK DABLING BLVD STE 102
COLORADO SPRINGS CO
80918-3847
US

IV. Provider business mailing address

1958 MAKLEY LOOP
CASTLE ROCK CO
80104-7303
US

V. Phone/Fax

Practice location:
  • Phone: 310-735-3066
  • Fax:
Mailing address:
  • Phone: 310-735-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number21526
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: