Healthcare Provider Details

I. General information

NPI: 1063335529
Provider Name (Legal Business Name): LEIDY GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 MANTA RAY CIR
CYPRESS TX
77433-3228
US

IV. Provider business mailing address

1226 FALLBROOK DR
HOUSTON TX
77038-1808
US

V. Phone/Fax

Practice location:
  • Phone: 832-272-0587
  • Fax:
Mailing address:
  • Phone: 346-290-9244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: