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NPI Code Detail

MEDICARE: JAMIE GARCIA BCBA

MEDICARE: JAMIE GARCIA BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-66054GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124591219
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE GARCIA BCBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 2405 SATELLITE BLVD STE 100
Second Line :
City : DULUTH
State : GA
Zip : 30096-9084
Country : US
Telephone Number : 470-632-4990
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2019
Last Update Date : 05/28/2024

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Directions to “ JAMIE GARCIA BCBA” Practice Location

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