Healthcare Provider Details

I. General information

NPI: 1225820533
Provider Name (Legal Business Name): THALIA SALAZAR GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 W 47TH PL STE 499
HIALEAH FL
33012-3394
US

IV. Provider business mailing address

13753 SW 285TH ST
HOMESTEAD FL
33033-5710
US

V. Phone/Fax

Practice location:
  • Phone: 305-425-1338
  • Fax:
Mailing address:
  • Phone: 305-645-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-438288
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: