Healthcare Provider Details

I. General information

NPI: 1447038476
Provider Name (Legal Business Name): AMALIA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14196 SW 148TH AVE
MIAMI FL
33196-4670
US

IV. Provider business mailing address

14196 SW 148TH AVE
MIAMI FL
33196-4670
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-4441
  • Fax:
Mailing address:
  • Phone: 305-265-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-298060
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: