Healthcare Provider Details

I. General information

NPI: 1518802495
Provider Name (Legal Business Name): HANAH GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W FRANCISCAN DR
CROWN POINT IN
46307
US

IV. Provider business mailing address

687 W 100 N
VALPARAISO IN
46385
US

V. Phone/Fax

Practice location:
  • Phone: 812-339-1657
  • Fax:
Mailing address:
  • Phone: 812-339-1657
  • Fax: 812-339-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number5360192167
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: