MEDICARE: CATRINA GARCIA

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-21-197794	TX

General Provider Information

NPI Number	:	1265192694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATRINA GARCIA

Provider Business Mailing Address
First Line	:	18385 BABCOCK RD APT 330
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2354
Country	:	US
Telephone Number	:	210-373-2772
Fax Number	:

Provider Business Practice Location Address
First Line	:	21727 IH 10 W
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-2106
Country	:	US
Telephone Number	:	210-455-1091
Fax Number	:

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

Provider Enumeration Date	:	12/27/2021
Last Update Date	:	12/27/2021

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Directions to “ CATRINA GARCIA ” Practice Location

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