MEDICARE: ARACELYS GARCIA PONCE

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
1	106S00000X	Behavior Technician	RBT-24-329779	FL

General Provider Information

NPI Number	:	1235968736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARACELYS GARCIA PONCE

Provider Business Mailing Address
First Line	:	685 E 2ND AVE APT 1
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4459
Country	:	US
Telephone Number	:	786-626-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 E 2ND AVE APT 1
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4459
Country	:	US
Telephone Number	:	786-626-2787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	03/11/2026

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