Healthcare Provider Details

I. General information

NPI: 1356774095
Provider Name (Legal Business Name): JANIRA GARCIA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 LANG AVE NE STE 110
ALBUQUERQUE NM
87109-4475
US

IV. Provider business mailing address

6604 MCFARLAND AVE
EL PASO TX
79932-2209
US

V. Phone/Fax

Practice location:
  • Phone: 505-933-6159
  • Fax:
Mailing address:
  • Phone: 714-336-1729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-500418
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: