Healthcare Provider Details

I. General information

NPI: 1376318410
Provider Name (Legal Business Name): ARLETY ALONSO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8395 W OAKLAND PARK BLVD STE A
SUNRISE FL
33351-7301
US

IV. Provider business mailing address

101 S EAST COAST ST APT 201
LAKE WORTH FL
33460-4411
US

V. Phone/Fax

Practice location:
  • Phone: 954-600-4307
  • Fax: 561-516-8183
Mailing address:
  • Phone: 786-536-8908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-312016
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: