Healthcare Provider Details

I. General information

NPI: 1104390558
Provider Name (Legal Business Name): ANAILY GARCIA GARCIA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 10TH AVE N
LAKE WORTH BEACH FL
33461-3345
US

IV. Provider business mailing address

3301 ELIZABETH PL S
PALM SPRINGS FL
33461-2036
US

V. Phone/Fax

Practice location:
  • Phone: 561-506-3665
  • Fax:
Mailing address:
  • Phone: 786-399-8134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0189255
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: